| NPI | 1962626432 |
|---|---|
| Doing Business As | COUNTRY CAREPLEX |
| Entity Type | Organization |
| Authorized Contact | PAUL GRAY President 512-345-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: TX 117933) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2012-11-02 |