Organization · Type 2 NPI
Countrywood Manor Assisted Living, Inc.
Assisted Living Facility · Mantachie, MS
NPI number
1104429398
Active
Practice location
145 Watson Dr
Mantachie, MS 38855-8381
Fax (662) 282-7738
Mailing address
PO Box 4150
Tupelo, MS 38803-4150
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1104429398
Countrywood Manor Assisted Living, Inc.'s National Provider Identifier is 1104429398, issued on Nov 19, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mantachie, MS. The record was last updated on Nov 19, 2020.