| NPI | 1538456272 |
|---|---|
| Doing Business As | COUNTRY INN ALF |
| Entity Type | Organization |
| Authorized Contact | LAURA GOICU Owner 360-920-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 7020) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2017-12-18 |