| NPI | 1568682169 |
|---|---|
| Doing Business As | THE REACH CORPORATION COUNTRY PLACE |
| Entity Type | Organization |
| Authorized Contact | LAILA M BEAVEN Registered Agent 270-389-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OK 100769710A) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-01-27 |