Indian Rock Village, Llc

LBN: Indian Rock Village, Llc
Indian Rock Village, Llc is an health care organization with primary practice located at 265 Dave Creek Parkway , Fairfield Bay AR 72088-3136. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Indian Rock Village, Llc can be contacted via phone (501) 884-3210, or through Holman, Edward Victor via phone (501) 224-0846.

Contact Information

Primary practice address
265 Dave Creek Parkway Fairfield Bay AR 72088-3136
Fax: (501) 884-6800
Website:
Authorized official contact:
Name: Holman, Edward Victor

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 452 Arkansas

Profile Details

NPI number 1780633222
LBN Legal business name Indian Rock Village, Llc
DBA Doing business as
Authorized official Holman, Edward Victor
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Dec 4th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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