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State Of Arkansas
Intellectual Disabilities Intermediate Care Facility in Booneville, Arkansas
NPI 1801928627

State Of Arkansas is a Intellectual Disabilities Intermediate Care Facility based in Booneville, AR. State Of Arkansas practices in Booneville, AR. The NPI Number for State Of Arkansas is 1801928627 and holds a License No. (Arkansas).

The current practice location address for State Of Arkansas is 87 Reed Rd, Booneville, AR and can be reached out via phone at 479-675-2121 and via fax at 479-675-5820.

Location: 87 Reed Rd, Booneville, AR, 72927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801928627
Provider Name
State Of Arkansas
Credential
Provider Entity Type
Organization
Address
87 Reed Rd, Booneville, AR, 72927
Phone Number
479-675-2121
Fax Number
479-675-5820
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
109051213 05 AR
institution
Provider Business Practice Location Address Details
Address
87 Reed Rd
City
Booneville
State
Arkansas
Zip
72927
Phone Number
479-675-2121
Fax Number
479-675-5820
person
Provider Business Mailing Address Details
Address
87 Reed Rd
City
Booneville
State
Arkansas
Zip
72927
Phone Number
479-675-2121
Fax Number
479-675-5820
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(Arkansas)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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