Countryside Manor Llc in Lamar - Nursing Facility/intermediate Care Facility
Countryside Manor Llc - NPI 1275673642
Countryside Manor Llc is a Nursing Facility/intermediate Care Facility in Lamar, Arkansas. Countryside Manor Llc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Countryside Manor Llc is 1275673642. The last update date is 2008-02-19.
Countryside Manor Llc's current location address is 300 S Thompson Rd, Lamar, Arkansas. You can contact this provider via phone number 4797542052 and fax number 4797545745. The mailing address for Countryside Manor Llc is 300 S Thompson Rd, Lamar, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Countryside Manor Llc |
|---|---|
| Address | 300 S Thompson Rd, Lamar, Arkansas |
| Phone Number | 4797542052 |
| Fax Number | 4797545745 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Price Justin |
| Telephone Number | 9189679285 |
NPI Number Detail
| NPI Number | 1275673642 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2008-02-19 |
Provider Mailing Address Detail
| Address | 300 S Thompson Rd |
|---|---|
| City | Lamar |
| State | Arkansas (AR) |
| Post Code | 728469423 |
| Phone Number | 4797542052 |
| Fax Number | 4797545745 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
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Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Countryside Manor Llc?
The Countryside Manor Llc has been issued the NPI (National Provider Identifier) 1275673642 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Countryside Manor Llc is physically located?
The Countryside Manor Llc is physically situated at the following address: 300 S Thompson Rd, Lamar, AR, 728469423.
What is Countryside Manor Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Countryside Manor Llc is Nursing Facility/intermediate Care Facility, and the taxonomy code that categorizes this field of expertise is 313M00000X.
On what date did the Countryside Manor Llc receive its 1275673642 assignment from the Centers for Medicare & Medicaid Services?
The Countryside Manor Llc was assigned its 1275673642 by the Centers for Medicare & Medicaid Services on 2007-02-07.
When was the information pertaining to Countryside Manor Llc most recently updated or revised?
The details related to Countryside Manor Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-19.
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