COUNTRYSIDE HEALTHCARE, INC. is an assisted living facility in Huntsville, AR. 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. COUNTRYSIDE HEALTHCARE, INC. NPI is 1659518256. The provider is registered as an organization entity type.
The provider's business location address is:
722 PHILLIPS PL
HUNTSVILLE, AR
ZIP 72740-517
Phone: (479) 738-1500
The provider's authorized official is Tara Helen Box .
The authorized official title is Administrator and has the following contact phone number (479) 738-1500.
The CLIA number assigned to this NPI record is 04D2195171 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/19/2009 and was last updated on 1/19/2009.