Country Club Retirement Center LLC

NPI #1144372137 in Ashtabula, Ohio

Provider Information

NPI Number
1144372137
Entity Type
Organization
Organization Name
Country Club Retirement Center LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 18, 2007
Last Updated
Apr 12, 2013

Practice Location

Address
925 E 26TH ST
State
Ohio
ZIP Code
44004-5061
Phone
(440) 992-0022

Authorized Official

Name
MRS. JANET HARRIS, CPA
Title
CEO
Phone
(330) 239-4474

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility
Skilled Nursing Facility

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