Organization
COUNTRYSIDE LIVING
Active
Organization
COUNTRYSIDE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARSHA OVERMAN SAULS (ADMINISTRATOR)
(919) 242-6369
Entity
Organization
Contact information
Practice address
5383 US 117 NORTH, PIKEVILLE, NC 27863-0335
(919) 242-6369
(919) 242-9884
Mailing address
PO BOX 335, PIKEVILLE, NC 27863-0335
(919) 242-6369
(919) 242-9884
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-096-018
NC
Other
Enumeration date
06/20/2007
Last updated
08/22/2020
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