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Country Pines Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lagrange, North Carolina
NPI 1588873764

Country Pines Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Lagrange, NC. Country Pines Inc practices in Lagrange, NC. The NPI Number for Country Pines Inc is 1588873764 and holds a License No. MHL096115 (North Carolina).

The current practice location address for Country Pines Inc is 2600 N Beston Rd, Lagrange, NC and can be reached out via phone at 919-778-1244.

Location: 2600 N Beston Rd, Lagrange, NC, 28551-8627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588873764
Provider Name
Country Pines Inc
Credential
Provider Entity Type
Organization
Address
2600 N Beston Rd, Lagrange, NC, 28551-8627
Phone Number
919-778-1244
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804004 05 NC
institution
Provider Business Practice Location Address Details
Address
2600 N Beston Rd
City
Lagrange
State
North Carolina
Zip
28551-8627
Phone Number
919-778-1244
Fax Number
person
Provider Business Mailing Address Details
Address
2600 N Beston Rd
City
Lagrange
State
North Carolina
Zip
28551-8627
Phone Number
919-778-1244
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL096115 (North Carolina)
Definition
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.
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