Organization
PREMIER OPERATING COUNTRYSIDE VILLAGE, LLC
Active
Parent organization
PREMIER SENIOR LIVING, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER SENIOR LIVING, LLC
Authorized official
ROBERT BORSODY (PRINCIPAL)
(212) 739-0794
Entity
Organization
Contact information
Practice address
5383 US HIGHWAY 117 N, PIKEVILLE, NC 27863-9443
(919) 242-6369
(919) 242-9884
Mailing address
5383 US HIGHWAY 117 N, PIKEVILLE, NC 27863-9443
(919) 242-6369
(919) 242-9884
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NC
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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