1629135116 COUNTRY LIVING GUEST HOME, INC.

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Active

Basic Information

Organization Name
COUNTRY LIVING GUEST HOME, INC.
Enumeration Date
January 3, 2007
Last Update
October 12, 2023
Authorized Official
MISS KELLIE MICHELLE HARDISON MSW, LCSW
ADMINISTRATOR
Phone: (252) 975-3741

Practice Location

Address
424 WHARTON STATION ROAD
WASHINGTON, NC 278898472
Phone
(252) 975-3741
Fax
(252) 975-3044

Mailing Address

Address
217 EAST 9TH STREET
WASHINGTON, NC 278898472
Phone
(252) 975-3741
Fax
(252) 975-3044

Specialties & Taxonomies

Specialty Code Classification License State Primary
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health N/A N/A No
Adult Care Home Facility
Adult Care Home
311ZA0620X Custodial Care Facility N/A N/A No
Non-emergency Medical Transport (VAN)
343900000X Non-emergency Medical Transport (VAN) N/A N/A No
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
7805416 05 NC N/A

Frequently Asked Questions

What is COUNTRY LIVING GUEST HOME, INC.'s NPI number?
COUNTRY LIVING GUEST HOME, INC.'s NPI number is 1629135116.
Which doctor has NPI number 1629135116?
The doctor with NPI number 1629135116 is COUNTRY LIVING GUEST HOME, INC..
What is COUNTRY LIVING GUEST HOME, INC.'s practice address?
COUNTRY LIVING GUEST HOME, INC.'s practice address is 424 WHARTON STATION ROAD, WASHINGTON, NC, 278898472.
Which doctor practices at 424 WHARTON STATION ROAD, WASHINGTON, NC, 278898472?
COUNTRY LIVING GUEST HOME, INC. practices at 424 WHARTON STATION ROAD, WASHINGTON, NC, 278898472.
What is COUNTRY LIVING GUEST HOME, INC.'s mailing address?
COUNTRY LIVING GUEST HOME, INC.'s mailing address is 217 EAST 9TH STREET, WASHINGTON, NC, 278898472.
What is COUNTRY LIVING GUEST HOME, INC.'s phone number?
COUNTRY LIVING GUEST HOME, INC.'s phone number is (252) 975-3741.
Who is (252) 975-3741?
(252) 975-3741 is the phone number for COUNTRY LIVING GUEST HOME, INC..
What is COUNTRY LIVING GUEST HOME, INC.'s specialty?
COUNTRY LIVING GUEST HOME, INC.'s specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is COUNTRY LIVING GUEST HOME, INC.?
COUNTRY LIVING GUEST HOME, INC. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is COUNTRY LIVING GUEST HOME, INC. a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, COUNTRY LIVING GUEST HOME, INC. is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is COUNTRY LIVING GUEST HOME, INC. still practicing?
Yes, COUNTRY LIVING GUEST HOME, INC. is currently practicing.
Is COUNTRY LIVING GUEST HOME, INC. accepting new patients?
COUNTRY LIVING GUEST HOME, INC. may be accepting new patients. Please call their office at (252) 975-3741 to inquire about availability.
Is NPI 1629135116 still active?
Yes, NPI 1629135116 is currently active.
Where does COUNTRY LIVING GUEST HOME, INC. practice?
COUNTRY LIVING GUEST HOME, INC. practices in WASHINGTON, NC.