| NPI | 1770172736 |
|---|---|
| Doing Business As | COUNTRY CLUB CENTER II |
| Entity Type | Organization |
| Authorized Contact | PAUL ADAMIC Corporate Controller 330-239-3597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |