Country Club Retirement Center Iv, INC

NPI #1881747673 in Bellaire, Ohio

Provider Information

NPI Number
1881747673
Entity Type
Organization
Organization Name
Country Club Retirement Center Iv, INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 18, 2007
Last Updated
Apr 16, 2012

Practice Location

Address
55801 CONNO MARA DR
State
Ohio
ZIP Code
43906-9698
Phone
(800) 516-9389

Authorized Official

Name
MRS. JANET HARRIS, CPA
Title
CEO
Phone
(330) 239-4474

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility
Skilled Nursing Facility

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