NPI | 1841444601 |
---|---|
Doing Business As | COUNTRYVIEW CARE CENTER OF MACOMB |
Entity Type | Organization |
Authorized Contact | MARK PETERSEN Manager 309-691-8113 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0047431) |
Enumeration Date | 2008-11-06 |
Last Update Date | 2020-01-28 |