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Long Term Care Facility Details
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| Facility Information | | Facility Name: | Indian Rock Village Health Center | | Mailing Address: | 265 Dave Creek Parkway, Fairfield Bay, AR 72088 | | Physical Address: | 265 Dave Creek Parkway, Fairfield Bay, AR 72088 | | County:
| Van Buren | | Phone Number: | 501-884-3210 | | Fax Number: | 501-884-6800 | | Administrator and Certifications
| | Administrator: | Donna J. Brock | | Administrator License No.:
| 2110 | | Life Safety Code Years: | 1985 | | Certifications: | XIX/XVIII | | Certified Beds | | Total Licensed Beds: | 55 | | Medicaid Beds: | 0 | | Medicare Beds: | 0 | | Medicaid/Medicare Beds: | 55 | | Private Beds: | 0 | | Classification: | Skilled Nursing Facility with dual certified beds (Medicaid / Medicare) | | Ownership and Financial Interest | | Entity Type: | Limited Liability Company | | Corporation Name: | Indian Rock Village, LLC |
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