Organization
COUNTRY ROAD RESOURCES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNIECE A WHITEHEAD (DIRECTOR)
(318) 847-4193
Entity
Organization
Contact information
Practice address
25687 US-371, SAREPTA, LA 71071
(318) 847-4193
(318) 847-4192
Mailing address
PO BOX 93, SAREPTA, LA 71071-0093
(318) 423-4725
(318) 847-4192
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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