Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATE OF ARKANSAS
Active OrganizationICF/Individuals with Intellectual Disabilities · BOONEVILLE, AR
Registration Details
- NPI Number
- 1801928627
- Provider Type
- Organization
- NPI Issued
- Mar 9, 2007 (19.120450535075 yrs)
- Last Updated
- Jun 25, 2008
Practice Information
- Address
-
87 REED RDHIGHWAY 116 SOUTHBOONEVILLE, AR, 72927Browse AR providers · Browse ZIP 72927
- Phone
- 4796752121
- Fax
- 4796755820
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.