Organization · Type 2 NPI

Country Living Guest Home, Inc.

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Washington, NC

NPI number 1720798804 Active

Practice location

3650 Cherry Road
Washington, NC 27889

Call (252) 975-3741 Map

Fax (252) 975-3044

Mailing address

217 East 9th Street
Washington, NC 27889

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Adult Care Home Facility 311ZA0620XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Another provider at this address

Other intellectual and/or developmental disabilities residential treatment facility providers in Washington

See all in Washington →

About NPI 1720798804

Country Living Guest Home, Inc.'s National Provider Identifier is 1720798804, issued on Nov 30, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Washington, NC. The record was last updated on Jan 26, 2023.