Country Club Retirement Center LLC

NPI #1538750666 in Ashtabula, Ohio

Provider Information

NPI Number
1538750666
Entity Type
Organization
Organization Name
Country Club Retirement Center LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 1, 2021
Last Updated
Feb 1, 2021

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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