| NPI | 1477077808 |
|---|---|
| Doing Business As | COUNTRYHOUSE RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | SUZY JESSICA NOOTZ Executive Director 402-421-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NE ALF369) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |