| NPI | 1962919472 |
|---|---|
| Doing Business As | COUNTRY LANE RETIREMENT VILLAGE |
| Entity Type | Organization |
| Authorized Contact | ALISHA SCHROEDER Administrator 402-961-1358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: NE ALF373) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |