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Country Pines Inc

Country Pines Inc is a health care provider in Lagrange, NC. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 2600 N Beston Rd, Lagrange, NC 28551-8627, US
Practice Location Phone919-778-1244
Practice Location Fax
Legal Business NameCOUNTRY PINES INC
Other Organization NameCOUNTRY PINES #2
Other Organization Name TypeAn Other Name
NPI ?1588873764
Entity TypeOrganization
Enumeration Date ? May 22, 2007
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Country Pines Inc

SpecialtySpecializationLicenseLicense State
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities MHL096115North Carolina

legacy-id-icon Legacy Provider IDs of Country Pines Inc

Provider IdIssuer StateIssuer TypeIssuer
7804004North CarolinaMedicaid

official-icon Authorized Official of Country Pines Inc

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

Authorized Official Mr. Kenneth Michael Sauls (BS BUSINESS)
Authorized Official Title/PositionVICE PRESIDENT
Authorized Official Phone Number919-778-4009