OrganizationActive
Montgomery County Assisted Living
NPI 1255537486 · Assisted Living Facility · Mount Ida, AR
Provider details
- NPI number
- 1255537486
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Bryan Wann, Administrator
- License
- 023 (AR)
Practice location
741 South Drive
Mount Ida, AR 71957
Phone: (870) 867-2156
Fax: (870) 867-2049
Mailing address
Po Box 1208
Mount Ida, AR 71957-1208
Registry dates
- Enumerated
- 2007-06-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.