OrganizationActive
Indian Rock Village, LLC
NPI 1780633222 · Nursing Facility/Intermediate Care Facility · Fairfield Bay, AR
Provider details
- NPI number
- 1780633222
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Edward Holman, President(501) 224-0846
- License
- 452 (AR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
265 Dave Creek Parkway
Fairfield Bay, AR 72088-3136
Phone: (501) 884-3210
Fax: (501) 884-6800
Approximate (ZIP-level) locationGet directions
Mailing address
265 Dave Creek Pkwy
Fairfield Bay, AR 72088-3106
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2013-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.