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1306041272
COUNTRYWOOD ASSISTED LIVING & MEMORY CARE, LLC
KINGFISHER, OK
NPI
1306041272
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Entity Type
Organization
Authorized Contact
JOHN HOLTZ
Controller
541-747-3373
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2007-06-19
Last Update Date
2008-05-13
Business Address
COUNTRYWOOD ASSISTED LIVING & MEMORY CARE, LLC
1604 S 13TH ST
KINGFISHER, OK 73750-4619
Phone number: 405-375-5232
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Mailing Address
COUNTRYWOOD ASSISTED LIVING & MEMORY CARE, LLC
78 CENTENNIAL LOOP
EUGENE, OR 97401-7900
Phone number: 541-747-3373
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