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
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