Country Place Village I LP

NPI #1891817094 in Kilgore, Texas

Provider Information

NPI Number
1891817094
Entity Type
Organization
Organization Name
Country Place Village I LP
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 6, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
2103 CHANDLER ST
State
Texas
ZIP Code
75662-3741
Phone
(903) 984-7827

Authorized Official

Name
BRIAN K CLARKE
Title
PRESIDENT CEO
Phone
(903) 566-8500

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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