Organization · Type 2 NPI
Country Club II
Lodging Provider · Sophia, NC
NPI number
1316087992
Active
Practice location
4011 Old Courthouse Rd
Sophia, NC 27350-8866
Mailing address
1324 Coltrane Mill Rd
Randleman, NC 27317-8020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | FCL076031 (NC) |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1316087992
Country Club II's National Provider Identifier is 1316087992, issued on Feb 6, 2007. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Sophia, NC. The record was last updated on Aug 22, 2020.