OrganizationActive
Countryside Assisted Living, LLC
NPI 1295028389 · Assisted Living Facility · Huntsville, AR
Provider details
- NPI number
- 1295028389
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Tara Box, Administrator
- License
- 037 (AR)
Practice location
722 Phillips Pl
Huntsville, AR 72740-9517
Phone: (479) 738-1500
Fax: (479) 738-1000
Mailing address
722 Phillips Pl
Huntsville, AR 72740-9517
Registry dates
- Enumerated
- 2011-05-23
- Last updated
- 2011-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.