Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COUNTRY LIVING GUEST HOME, INC.
Active
Organization
COUNTRY LIVING GUEST HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CARROW HARDISON (OWNER)
(252) 975-3741
Entity
Organization
Contact information
Practice address
3094 MARKET STREET EXTENSION, WASHINGTON, NC 27889-8126
(252) 975-3741
(252) 975-3044
Mailing address
217 EAST 9TH STREET, WASHINGTON, NC 27889-8126
(252) 975-3741
(252) 975-3044
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
01/01/2007
Last updated
06/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers