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Organization
COUNTRY PLACE SENIOR CARE
Active
Organization
COUNTRY PLACE SENIOR CARE
Active
Other names
Jennia Woodocock
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIA MARI WOODCOCK (ADMINISTRATOR)
(989) 444-1597
Entity
Organization
Contact information
Practice address
1805 E JORDAN RD, MT PLEASANT, MI 48858-9269
(989) 773-6320
(989) 773-1784
Mailing address
1805, E. JORDAN RD, MT. PLEASANT, MI 48858
(989) 773-6320
(989) 773-1784
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AM370085652
MI
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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