Healthcare Provider Details

I. General information

NPI: 1639538390
Provider Name (Legal Business Name): HIGHLANDS OF MOUNTAIN VIEW RCF HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2016
Last Update Date: 02/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 MASSEY AVE
MOUNTAIN VIEW AR
72560-6132
US

IV. Provider business mailing address

414 MASSEY AVE
MOUNTAIN VIEW AR
72560-6132
US

V. Phone/Fax

Practice location:
  • Phone: 870-269-5845
  • Fax: 870-269-2172
Mailing address:
  • Phone: 870-269-5845
  • Fax: 870-269-2172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH SCHWARTZ
Title or Position: MANAGER
Credential:
Phone: 201-635-1195