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Countryside Manor Llc
Nursing Facility/Intermediate Care Facility in Lamar, Arkansas
NPI 1275673642

Countryside Manor Llc is a Nursing Facility/Intermediate Care Facility based in Lamar, AR. Countryside Manor Llc practices in Lamar, AR. The NPI Number for Countryside Manor Llc is 1275673642 and holds a License No. (Arkansas).

The current practice location address for Countryside Manor Llc is 300 S Thompson Rd, Lamar, AR and can be reached out via phone at 479-754-2052 and via fax at 479-754-5745.

Location: 300 S Thompson Rd, Lamar, AR, 72846-9423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275673642
Provider Name
Countryside Manor Llc
Credential
Provider Entity Type
Organization
Address
300 S Thompson Rd, Lamar, AR, 72846-9423
Phone Number
479-754-2052
Fax Number
479-754-5745
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
300 S Thompson Rd
City
Lamar
State
Arkansas
Zip
72846-9423
Phone Number
479-754-2052
Fax Number
479-754-5745
person
Provider Business Mailing Address Details
Address
300 S Thompson Rd
City
Lamar
State
Arkansas
Zip
72846-9423
Phone Number
479-754-2052
Fax Number
479-754-5745
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
(Arkansas)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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