Beacon Drive Inn Of Booneville,inc

NPI 1356432082 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1356432082
Enumeration Date 09/27/2006
Last Updated 03/17/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL S MICHAEL
Position PRESIDENT
Phone (479) 782-0363
Fax (479) 783-1188
Practice Location
415 ROGERS AVE
FORT SMITH AR, 72901-1903, US
Phone (479) 782-0363
Fax (479) 783-1188
Business Location
415 ROGERS AVE
FORT SMITH AR, 72901-1903, US
Phone (479) 782-0363
Fax (479) 783-1188
Toxanomy
Taxonomy Code 332B00000X
License State Arkansas
License Number 013883
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According to our database, Beacon Drive Inn Of Booneville,inc NPI is 1356432082, taxonomy code is 332B00000X and license number is 013883, license state is located at Arkansas. Beacon Drive Inn Of Booneville,inc physically located at 415 Rogers Ave, Fort Smith AR, 72901-1903. NPI Number 1033115704 has the healthcare provider type.

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1356432082 NPI number is provided on an as is basis without warranty of any kind. 1356432082 is maintained by the National Plan & Provider Enumeration System. The contents of Beacon Drive Inn Of Booneville,inc are for informational purposes only.