NPI | 1124087663 |
---|---|
Doing Business As | COUNTRY VILLAGE CARE |
Entity Type | Organization |
Authorized Contact | ROBERT PASCASIO CEO 409-267-3143 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 115157) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2023-01-10 |