| NPI | 1073690822 |
|---|---|
| Doing Business As | COUNTRY HAVEN |
| Entity Type | Organization |
| Authorized Contact | LIZBETH WILKINSON President/Administrator 641-322-3291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-23 |