Organization
BEACON DRIVE INN OF BOONEVILLE,INC
Active
Other names
B.D.I.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S MORTON (PRESIDENT)
(479) 783-4672
Entity
Organization
Contact information
Practice address
415 ROGERS AVE, FORT SMITH, AR 72901-1903
(479) 782-0363
(479) 783-1188
Mailing address
415 ROGERS AVE, FORT SMITH, AR 72901-1903
(479) 782-0363
(479) 783-1188
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
013883
AR
Other
Enumeration date
09/27/2006
Last updated
03/17/2008
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