| NPI | 1598831869 |
|---|---|
| Doing Business As | COUNTRY CLUB RETIREMENT CENTER II |
| Entity Type | Organization |
| Authorized Contact | TRACY HEAD Administrator 740-397-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 2866) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2017-04-12 |