Indian Rock Village, LLC
NPI #1780633222 in Fairfield Bay, Arkansas
Provider Information
- NPI Number
- 1780633222
- Entity Type
- Organization
- Organization Name
- Indian Rock Village, LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- May 10, 2006
- Last Updated
- Dec 4, 2013
Practice Location
- Address
- 265 DAVE CREEK PARKWAY
- City
- Fairfield Bay
- State
- Arkansas
- ZIP Code
- 72088-3136
- Phone
- (501) 884-3210
Authorized Official
- Name
- MR. EDWARD VICTOR HOLMAN
- Title
- PRESIDENT
- Phone
- (501) 224-0846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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