| NPI | 1750728655 |
|---|---|
| Doing Business As | COUNTRY CARE MANOR |
| Entity Type | Organization |
| Authorized Contact | CARL FELLBAUM CEO 210-828-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |