Beacon Drive Inn of Booneville,inc
NPI #1356432082 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1356432082
- Entity Type
- Organization
- Organization Name
- Beacon Drive Inn of Booneville,inc
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Mar 17, 2008
Practice Location
- Address
- 415 ROGERS AVE
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72901-1903
- Phone
- (479) 782-0363
Authorized Official
- Name
- MR. MICHAEL S MORTON
- Title
- PRESIDENT
- Phone
- (479) 783-4672
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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