| NPI | 1962116939 |
|---|---|
| Doing Business As | COUNTRY GARDENS DULUTH |
| Entity Type | Organization |
| Authorized Contact | LAURA GOICU Owner 360-920-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-13 |