| NPI | 1124252085 |
|---|---|
| Doing Business As | COUNTRY CLUB NORTH |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M COURY President 323-876-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 197602852) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |