Healthcare Provider Details

I. General information

NPI: 1124249909
Provider Name (Legal Business Name): IZARD OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 S BEND DR
HORSESHOE BEND AR
72512-3727
US

IV. Provider business mailing address

1203 S BEND DR
HORSESHOE BEND AR
72512-3727
US

V. Phone/Fax

Practice location:
  • Phone: 870-670-5134
  • Fax: 870-670-4251
Mailing address:
  • Phone: 870-670-5134
  • Fax: 870-670-4251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number838
License Number StateAR

VIII. Authorized Official

Name: LESLIE A PRICE
Title or Position: ADMINISTRATOR
Credential: LNHA
Phone: 870-670-5134