Country Living Guest Home #5

LBN: Country Living Guest Home, Inc.
Country Living Guest Home #5 is an health care organization with primary practice located at 204 Stewart Drive , Washington NC 27889. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Non-emergency Medical Transport (VAN). Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Country Living Guest Home, Inc. can be contacted via phone (252) 975-3741, or through Hardison, Kellie Michelle via phone (252) 975-3741.

Contact Information

Primary practice address
204 Stewart Drive Washington NC 27889
Phone: (252) 975-3741
Fax: (252) 975-3044
Website:
Map and Directions
Authorized official contact:
Name: Hardison, Kellie Michelle MSW, LCSW
Phone: (252) 975-3741

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1477610657
LBN Legal business name Country Living Guest Home, Inc.
DBA Doing business as Country Living Guest Home #5
Authorized official Hardison, Kellie Michelle MSW, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Nov 21st, 2023 - about last year

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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