| NPI | 1861887101 |
|---|---|
| Doing Business As | COUNTRY TRAILS WELLNESS & REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES G GLADNEY Manager 318-281-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-22 |