Countryside Village LLC
NPI #1295029791 in Pikeville, North Carolina
Provider Information
- NPI Number
- 1295029791
- Entity Type
- Organization
- Organization Name
- Countryside Village LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 2, 2011
- Last Updated
- Jun 2, 2011
Practice Location
- Address
- 5383 US HIGHWAY 117 N
- City
- Pikeville
- State
- North Carolina
- ZIP Code
- 27863-9443
- Phone
- (919) 242-6369
Authorized Official
- Name
- MR. MICHAEL CHRYLL BATEMAN
- Title
- PRESIDENT
- Phone
- (336) 917-4799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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