# KEARNEY COUNTRYHOUSE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AGEMARK MANAGEMENT. LLC
- **Other names:** CountryHouse Kearney
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780468165
- **Legal business name:** AGEMARK MANAGEMENT. LLC
- **Authorized official:** BRANDIE HESSON-BULLARD (EXECTIVE DIRECTOR)
- **Authorized official phone:** (308) 455-8000

## Contact information

- **Practice address:** 5605 K AVE, KEARNEY, NE 68847-8512
- **Practice address phone:** (308) 455-8000
- **Mailing address:** 5605 K AVE, KEARNEY, NE 68847-8512
- **Mailing address phone:** (308) 455-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2023
- **Last updated:** 08/24/2023