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PEACHTREE VILLAGE AT HOLIDAY ISLAND NPI 1043743768


NPI Information

NPI: 1043743768
Provider Name: PEACHTREE VILLAGE AT HOLIDAY ISLAND
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
5 PARK DR
HOLIDAY ISLAND, AR
ZIP 72631
Phone: (479) 253-9933
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PEACHTREE VILLAGE AT HOLIDAY ISLAND is an assisted living facility in Holiday Island, AR. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PEACHTREE VILLAGE AT HOLIDAY ISLAND NPI is 1043743768. The provider is registered as an organization entity type.

The provider's business location address is:

5 PARK DR
HOLIDAY ISLAND, AR
ZIP 72631-388
Phone: (479) 253-9933

The provider's authorized official is Janet L. Nordlie .
The authorized official title is Operating Manager and has the following contact phone number (719) 200-3049.

The enumeration date for this NPI number is 4/10/2017 and was last updated on 4/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility002ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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