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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