NPI | 1306070263 |
---|---|
Doing Business As | COUNTRY CLUB SOUTH |
Entity Type | Organization |
Authorized Contact | TIMOTHY M COURY President 323-876-6370 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 197602853) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2009-05-07 |