| NPI | 1871212324 |
|---|---|
| Doing Business As | COUNTRY MANOR MEMORY CARE |
| Entity Type | Organization |
| Authorized Contact | KAREICIA MAHIEU Director 563-391-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |