COUNTRY LIVING GUEST HOME, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Washington, NC. The provider is 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. COUNTRY LIVING GUEST HOME, INC. NPI is 1972847390. The provider is registered as an organization entity type.
The provider's business location address is:
207 W 11TH ST
WASHINGTON, NC
ZIP 27889
Phone: (252) 975-3741
Fax: (252) 975-3044
The provider's authorized official is Kellie Michelle Hardison .
The authorized official title is Administrator and has the following contact phone number (252) 975-3741.
The enumeration date for this NPI number is 11/26/2012 and was last updated on 7/27/2023.