Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
STATE OF ARKANSAS
Active
Organization
STATE OF ARKANSAS
Active
Other names
Booneville Human Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY L. STOREY (DIRECTOR OF OPERATIONS)
(479) 675-1411
Entity
Organization
Contact information
Practice address
87 REED RD, HIGHWAY 116 SOUTH, BOONEVILLE, AR 72927
(479) 675-2121
(479) 675-5820
Mailing address
87 REED RD, HIGHWAY 116 SOUTH, BOONEVILLE, AR 72927
(479) 675-2121
(479) 675-5820
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109051213
—
AR
Enumeration date
03/09/2007
Last updated
06/25/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up