| NPI | 1952723157 |
|---|---|
| Doing Business As | COUNTRY MANOR ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | JEANNE MAE STEARNS Administrator/Owner 813-719-3548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8925) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |