Country Club Retirement Center Iv, INC

NPI #1447841572 in Bellaire, Ohio

Provider Information

NPI Number
1447841572
Entity Type
Organization
Organization Name
Country Club Retirement Center Iv, INC
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 1, 2021
Last Updated
Feb 1, 2021

Practice Location

Address
55801 CONNO MARA DR
State
Ohio
ZIP Code
43906-9698
Phone
(740) 676-2300

Authorized Official

Name
PAUL ADAMIC
Title
CORP CONTROLLER
Phone
(330) 239-3597

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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