Country Place Village I Lp

LBN: Country Place Village I Lp
Country Place Village I Lp is an health care organization with primary practice located at 2103 Chandler St , Kilgore TX 75662-3741. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Country Place Village I Lp can be contacted via phone (903) 984-7827, or through Clarke, Brian K via phone (903) 566-8500.

Contact Information

Primary practice address
2103 Chandler St Kilgore TX 75662-3741
Phone: (903) 984-7827
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clarke, Brian K
Phone: (903) 566-8500

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 100561 Texas

Profile Details

NPI number 1891817094
LBN Legal business name Country Place Village I Lp
DBA Doing business as
Authorized official Clarke, Brian K
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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