Country Living Adult Foster Care

NPI #1619274669 in Stanwood, Michigan

Provider Information

NPI Number: 1619274669
Entity Type: Organization
Organization Name: Country Living Adult Foster Care
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Feb 26, 2011
Last Updated: Feb 26, 2011

Practice Location

Address: 16966 6 MILE RD
City: Stanwood
State: Michigan
ZIP Code: 49346-9104
Phone: (231) 823-2061

Authorized Official

Name: MS. GAIL ANN DAWSON
Title: OWNER
Phone: (231) 823-2061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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