Country Care Inc

NPI 1003001033 - Assisted Living Facility - 310400000X

NPI Details
NPI 1003001033
Enumeration Date 09/12/2007
Last Updated 09/12/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL THOMAS MICHAEL
Position PRESIDENT
Phone (928) 649-0434
Fax (928) 649-0238
Practice Location
3980 E CASSIE LANE
COTTONWOOD AZ, 86326, US
Phone (928) 649-0434
Fax (928) 649-0238
Business Location
5302 N 43RD PLACE
PHOENIX AZ, 85018-1672, US
Phone (928) 274-0702
Fax (602) 808-9186
Toxanomy
Taxonomy Code 310400000X
License State Arizona
License Number ALH4144
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According to our database, Country Care Inc NPI is 1003001033, taxonomy code is 310400000X and license number is ALH4144, license state is located at Arizona. Country Care Inc physically located at 3980 E Cassie Lane, Cottonwood AZ, 86326. NPI Number 1033115704 has the healthcare provider type.

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1003001033 NPI number is provided on an as is basis without warranty of any kind. 1003001033 is maintained by the National Plan & Provider Enumeration System. The contents of Country Care Inc are for informational purposes only.