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Country Club Ii
Lodging Provider in Sophia, North Carolina
NPI 1316087992

Country Club Ii is a Lodging Provider based in Randleman, NC. Country Club Ii practices in Sophia, NC. The NPI Number for Country Club Ii is 1316087992 and holds a License No. FCL076031 (North Carolina).

The current practice location address for Country Club Ii is 4011 Old Courthouse Rd, Sophia, NC and can be reached out via phone at 336-674-6293.

Location: 4011 Old Courthouse Rd, Sophia, NC, 27317-8020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316087992
Provider Name
Country Club Ii
Credential
Provider Entity Type
Organization
Address
4011 Old Courthouse Rd, Sophia, NC, 27317-8020
Phone Number
336-674-6293
Fax Number
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FCL076031 05 NC
MLH076085 05 NC
institution
Provider Business Practice Location Address Details
Address
4011 Old Courthouse Rd
City
Sophia
State
North Carolina
Zip
27350-8866
Phone Number
336-674-6293
Fax Number
person
Provider Business Mailing Address Details
Address
4011 Old Courthouse Rd
City
Sophia
State
North Carolina
Zip
27350-8866
Phone Number
336-674-6293
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
FCL076031 (North Carolina)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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