Home » Arkansas » 72740 » Countryside Assisted Living, Llc

Countryside Assisted Living, Llc

Countryside Assisted Living, Llc is a health care provider in Huntsville, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 722 Phillips Pl, Huntsville, AR 72740-9517, US
Practice Location Phone479-738-1500
Practice Location Fax479-738-1000
Legal Business NameCOUNTRYSIDE ASSISTED LIVING, LLC
NPI ?1295028389
Entity TypeOrganization
Enumeration Date ? May 23, 2011
Last Update Date ? May 23, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Countryside Assisted Living, Llc

SpecialtySpecializationLicenseLicense State
Assisted Living Facility 037Arkansas

official-icon Authorized Official of Countryside Assisted Living, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Countryside Assisted Living, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Tara H Box
Authorized Official Title/PositionADMINISTRATOR
Authorized Official Phone Number479-738-1500