| NPI | 1063615086 |
|---|---|
| Doing Business As | COUNTRY RETREAT |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A LUPO Manager 561-502-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL6618) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |