Countryside Manor

LBN: Countryside Manor Llc
Countryside Manor is an health care organization with primary practice located at 300 S Thompson Rd , Lamar AR 72846-9423. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Countryside Manor Llc can be contacted via phone (479) 754-2052, or through Price, Justin via phone (918) 967-9285.

Contact Information

Primary practice address
300 S Thompson Rd Lamar AR 72846-9423
Phone: (479) 754-2052
Fax: (479) 754-5745
Website:
Map and Directions
Authorized official contact:
Name: Price, Justin
Phone: (918) 967-9285

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X Arkansas

Profile Details

NPI number 1275673642
LBN Legal business name Countryside Manor Llc
DBA Doing business as Countryside Manor
Authorized official Price, Justin
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Feb 19th, 2008 - about 18 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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