| NPI | 1245587146 |
|---|---|
| Doing Business As | A COUNTRY RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | CLYDE WESLEY LARMAN President 561-622-1348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 5699) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |