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Country Time Inn Llc
Adult Care Home Facility in Kings Mountain, North Carolina
NPI 1538155643

Country Time Inn Llc is an Adult Care Home Facility based in Hickory, NC and is specialized in Adult Care Home. Country Time Inn Llc practices in Kings Mountain, NC. The NPI Number for Country Time Inn Llc is 1538155643 and holds a License No. HAL036018 (North Carolina).

The current practice location address for Country Time Inn Llc is 602 Brevard St, Kings Mountain, NC and can be reached out via phone at 704-739-2760 and via fax at 704-739-6252.

Location: 602 Brevard St, Kings Mountain, NC, 28603-2568
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538155643
Provider Name
Country Time Inn Llc
Credential
Provider Entity Type
Organization
Address
602 Brevard St, Kings Mountain, NC, 28603-2568
Phone Number
704-739-2760
Fax Number
704-739-6252
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805757 05 NC
institution
Provider Business Practice Location Address Details
Address
602 Brevard St
City
Kings Mountain
State
North Carolina
Zip
28086-8692
Phone Number
704-739-2760
Fax Number
704-739-6252
person
Provider Business Mailing Address Details
Address
602 Brevard St
City
Kings Mountain
State
North Carolina
Zip
28086-8692
Phone Number
704-739-2760
Fax Number
704-739-6252
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
HAL036018 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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