Organization · Type 2 NPI
Country Place Village I LP
Assisted Living Facility · Kilgore, TX
NPI number
1891817094
Active
Practice location
2103 Chandler St
Kilgore, TX 75662-3741
Mailing address
PO Box 479
Tyler, TX 75710-0479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 100561 (TX) |
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.
3 other providers at this address
Other assisted living facility providers in Kilgore
About NPI 1891817094
Country Place Village I LP's National Provider Identifier is 1891817094, issued on Apr 6, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Kilgore, TX. The record was last updated on Aug 22, 2020.