| NPI | 1063989432 |
|---|---|
| Doing Business As | COUNTRY LIVING OF LYONS |
| Entity Type | Organization |
| Authorized Contact | LAURA THERESA SMITH Managing Member 622-285-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |