Country Livin' Senior Home
NPI #1316110109 in Atascadero, California
Provider Information
- NPI Number
- 1316110109
- Entity Type
- Organization
- Organization Name
- Country Livin' Senior Home
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 11, 2008
- Last Updated
- Apr 11, 2008
Practice Location
- Address
- 4930 SYCAMORE RD
- City
- Atascadero
- State
- California
- ZIP Code
- 93422-4314
- Phone
- (805) 461-5306
Authorized Official
- Name
- MRS. LAURA GENELLE WILLISON
- Title
- OWNER/ADMINISTRATOR
- Phone
- (805) 461-5306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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