COUNTRYWOOD MANOR ASSISTED LIVING, INC. is an assisted living facility in Mantachie, MS. The provider is 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. COUNTRYWOOD MANOR ASSISTED LIVING, INC. NPI is 1104429398. The provider is registered as an organization entity type.
The provider's business location address is:
145 WATSON DR
MANTACHIE, MS
ZIP 38855-381
Phone: (662) 282-7808
Fax: (662) 282-7738
The provider's authorized official is Kenneth A Long .
The authorized official title is President and has the following contact phone number (662) 401-8930.
The CLIA number assigned to this NPI record is 25D2202896 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/19/2020 and was last updated on 11/19/2020.