OrganizationActive
State of Arkansas
NPI 1801928627 · Intellectual Disabilities Intermediate Care Facility · Booneville, AR
Provider details
- NPI number
- 1801928627
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Judy Storey, Director of Operations
Practice location
87 Reed Rd
Highway 116 South
Booneville, AR 72927
Phone: (479) 675-2121
Fax: (479) 675-5820
Mailing address
87 Reed Rd
Booneville, AR 72927
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2008-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.