Countrywood Assisted Living & Memory Care, LLC
NPI #1306041272 in Kingfisher, Oklahoma
Provider Information
- NPI Number
- 1306041272
- Entity Type
- Organization
- Organization Name
- Countrywood Assisted Living & Memory Care, LLC
- Primary Specialty
- Point of Service
- Enumeration Date
- Jun 19, 2007
- Last Updated
- May 13, 2008
Practice Location
- Address
- 1604 S 13TH ST
- City
- Kingfisher
- State
- Oklahoma
- ZIP Code
- 73750-4619
- Phone
- (405) 375-5232
Authorized Official
- Name
- MR. JOHN HOLTZ
- Title
- CONTROLLER
- Phone
- (541) 747-3373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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