| NPI | 1154125433 |
|---|---|
| Doing Business As | COUNTRYSIDE ASSISTED LIVING AT BELFAIR |
| Entity Type | Organization |
| Authorized Contact | TARA BOX Owner 479-738-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |