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1104429398
COUNTRYWOOD MANOR ASSISTED LIVING, INC.
MANTACHIE, MS
NPI
1104429398
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Entity Type
Organization
Authorized Contact
KENNETH A LONG
President
662-401-8930
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2020-11-19
Last Update Date
2020-11-19
Business Address
COUNTRYWOOD MANOR ASSISTED LIVING, INC.
145 WATSON DR
MANTACHIE, MS 38855-8381
Phone number: 662-282-7808
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Mailing Address
COUNTRYWOOD MANOR ASSISTED LIVING, INC.
PO BOX 4150
TUPELO, MS 38803-4150
Phone number: 662-322-4636
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