Country Pines Inc
Country Pines Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in LA Grange, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2307 N Beston RdLA Grange, NC 28551-8627
Phone: (919) 778-4009
Fax: (919) 778-4009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence MHL096117 (NC) |
|---|---|
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X · Licence MHL096117 (NC) |
Record details
| NPI number | 1497968762 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Sauls — Vice President · (919) 778-4009 |
| Other names | Country Pines #1 |
| NPI enumerated | May 7, 2007 |
| Last updated in NPPES | September 4, 2007 |
| Mailing address | 2307 N Beston Rd, La Grange, NC 28551-8627 |
Other providers in LA Grange
-
Waters' Provider Care Services, Inc
104 W James St, LA Grange, NC 28551-1727 · (252) 566-3600