Country Angels

NPI #1265791347 in Baxter Springs, Kansas

Provider Information

NPI Number
1265791347
Entity Type
Organization
Organization Name
Country Angels
Primary Specialty
Assisted Living Facility
Enumeration Date
May 10, 2012
Last Updated
May 10, 2012

Practice Location

Address
2067 E 12TH ST
State
Kansas
ZIP Code
66713-2657
Phone
(620) 856-5418

Authorized Official

Name
MR. GARY O CASE
Title
OWNER
Phone
(620) 856-5418

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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