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.
|Practice Location|| 2600 N Beston Rd, Lagrange, NC 28551-8627, US |
|Practice Location Phone||919-778-1244|
|Practice Location Fax|
|Legal Business Name||COUNTRY PINES INC|
|Other Organization Name||COUNTRY PINES #2|
|Other Organization Name Type||An Other Name|
|Enumeration Date ? ||May 22, 2007|
|Last Update Date ? ||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Country Pines Inc
|Specialty||Provider Type||Specialization||License||License State|
|Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities||Residential Treatment Facilities|| ||MHL096115||North Carolina|
Legacy Provider IDs of Country Pines Inc
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||VICE PRESIDENT|
|Authorized Official Phone Number||919-778-4009|