NPI | 1235668625 |
---|---|
Doing Business As | COUNTRY MANOR ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | REBECCA JOHNSON Owner/Manager 936-776-0703 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-07-21 |