Premier Operating Countryside Village, LLC
NPI #1467808329 in Pikeville, North Carolina
Provider Information
- NPI Number
- 1467808329
- Entity Type
- Organization
- Organization Name
- Premier Operating Countryside Village, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PREMIER SENIOR LIVING, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- May 10, 2016
- Last Updated
- May 10, 2016
Practice Location
- Address
- 5383 US HIGHWAY 117 N
- City
- Pikeville
- State
- North Carolina
- ZIP Code
- 27863-9443
- Phone
- (919) 242-6369
Authorized Official
- Name
- ROBERT BORSODY
- Title
- PRINCIPAL
- Phone
- (212) 739-0794
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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