Montgomery County Assisted Living
Organization Active NPI Assisted Living Facility · Mount Ida, AR
NPI 1255537486 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1255537486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 023 (AR)
- Legal business name
- MONTGOMERY COUNTY ASSISTED LIVING
- Practice address
- 741 South Drive
Mount Ida, AR 71957 - Phone
- (870) 867-2156
- Fax
- (870) 867-2049
- NPI assigned
- Jun 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Bryan Fredrick Wann
- Title
- Administrator
- Phone
- (870) 867-2156
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 023 | AR | Yes |
Addresses
Primary practice location
741 South Drive
Mount Ida, AR 71957
Mailing address
PO Box 1208
Mount Ida, AR 71957-1208
Phone (870) 867-2156
Other providers in Mount Ida, AR
- Kara J Hill
- Stacie L Hipp
- David P Hochstedler
- Billie S Jones
- Joshua M Lindsey
- Montgomery County Nursing Home
- Ouachita Regional Counseling & Mental Health Center, Inc.
- Barbara E Page
- Kathleen Nichole Peters
- Marvin Louis Poole
All providers in Mount Ida, AR · Assisted Living Facility in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.