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Long Term Care Facility Details

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Facility Information
Facility Name: Countryside Assisted Living
Mailing Address: 722 Phillips Place, Huntsville, AR 72740
Physical Address: 722 Phillips Place, Huntsville, AR 72740
County: Madison
Phone Number: 479-738-1500
Fax Number: 479-738-1000
Email: tara@countrysideassistedliving.com
Administrator and Certifications
Administrator: Tara Box
Administrator License No: 1293
Life Safety Code Years: 2009
Certification: Medicaid Waiver
Certified Beds
Total Licensed Beds: 92
Medicaid Beds: 0
Medicare Beds: 0
Medicaid/Medicare Beds: 0
Private Beds: 92
Classification: Assisted Living Facility Level II
Ownership and Financial Interest
Entity Type: Corporation
Corporation Name: Countryside Assisted Living

Arkansas Department
of Human Services
(501) 682-1001

TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service

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