Organization
BROWNWOOD LIFE CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY NADINE PRYBUTO (BUSINESS MANAGER)
(479) 785-2273
Entity
Organization
Contact information
Practice address
2121 TOWSON AVE, FORT SMITH, AR 72901-5904
(479) 785-2273
(479) 785-0583
Mailing address
2121 TOWSON AVE, FORT SMITH, AR 72901-5904
(479) 785-2273
(479) 785-0583
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
366
AR
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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