| NPI | 1083880272 |
|---|---|
| Doing Business As | COUNTRY VILLA |
| Entity Type | Organization |
| Authorized Contact | WALTER A LEVONOWICH Vice President Controller 262-257-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN HFID204) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |