Healthcare Provider Details

I. General information

NPI: 1750202180
Provider Name (Legal Business Name): CARA PRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 W MAIN ST
WALNUT RIDGE AR
72476-1434
US

IV. Provider business mailing address

877 LAWRENCE ROAD 222 WEST
BLACK ROCK AR
72415
US

V. Phone/Fax

Practice location:
  • Phone: 870-886-9022
  • Fax: 870-886-8001
Mailing address:
  • Phone: 870-637-4089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberF06262107
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: