Countryside Assisted Living, LLC
NPI #1295028389 in Huntsville, Arkansas
Provider Information
- NPI Number
- 1295028389
- Entity Type
- Organization
- Organization Name
- Countryside Assisted Living, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 23, 2011
- Last Updated
- May 23, 2011
Practice Location
- Address
- 722 PHILLIPS PL
- City
- Huntsville
- State
- Arkansas
- ZIP Code
- 72740-9517
- Phone
- (479) 738-1500
Authorized Official
- Name
- MRS. TARA H BOX
- Title
- ADMINISTRATOR
- Phone
- (479) 738-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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