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Organization
COUNTRYSIDE THERAPY GROUP HOME HEALTH, LLC
Active
Organization
COUNTRYSIDE THERAPY GROUP HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MONTGOMERY OTR (CFO)
(254) 965-2104
Entity
Organization
Contact information
Practice address
515 W LINGLEVILLE RD, STEPHENVILLE, TX 76401-2211
(254) 965-2104
(254) 965-3618
Mailing address
515 W LINGLEVILLE RD, STEPHENVILLE, TX 76401-2211
(254) 965-2104
(254) 965-3618
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
016684
TX
Other
Enumeration date
05/27/2014
Last updated
04/06/2015
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