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Country Place Village I Lp
Assisted Living Facility in Kilgore, Texas
NPI 1891817094

Country Place Village I Lp is an Assisted Living Facility based in Tyler, TX. Country Place Village I Lp practices in Kilgore, TX. The NPI Number for Country Place Village I Lp is 1891817094 and holds a License No. 100561 (Texas).

The current practice location address for Country Place Village I Lp is 2103 Chandler St, Kilgore, TX and can be reached out via phone at 903-984-7827.

Location: 2103 Chandler St, Kilgore, TX, 75710-0479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891817094
Provider Name
Country Place Village I Lp
Credential
Provider Entity Type
Organization
Address
2103 Chandler St, Kilgore, TX, 75710-0479
Phone Number
903-984-7827
Fax Number
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2103 Chandler St
City
Kilgore
State
Texas
Zip
75662-3741
Phone Number
903-984-7827
Fax Number
person
Provider Business Mailing Address Details
Address
2103 Chandler St
City
Kilgore
State
Texas
Zip
75662-3741
Phone Number
903-984-7827
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
100561 (Texas)
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.
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