Beacon Drive Inn Of Booneville,inc
Durable Medical Equipment & Medical Supplies in Fort Smith, AR. Organization (NPI-2).
NPI number1356432082
StatusActive
Last updated in NPPESMar 17, 2008
Details
- NPI
- 1356432082
- Entity type
- Organization (NPI-2)
- Legal business name
- Beacon Drive Inn Of Booneville,inc
- Organization subpart
- No
- Enumeration date
- Sep 27, 2006
- Last updated
- Mar 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 013883 | AR | Yes |
Other names
- B.D.I. (Doing Business As)
Practice location
415 Rogers AveFort Smith, AR 72901-1903
Phone 479-782-0363 · Fax 479-783-1188
Mailing address
415 Rogers AveFort Smith, AR 72901-1903
Phone 479-782-0363 · Fax 479-783-1188
Authorized official
Michael S Morton
President
4797834672
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