# COUNTRY CHRISTIAN CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alzheirmers Dementia Assisted Living CRCF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609991652
- **Authorized official:** MRS. TINA MARIE ZABOROWSKI 759C97 ADMINISTRATOR (ADMINISTRATOR)
- **Authorized official phone:** (864) 972-1072

## Contact information

- **Practice address:** 207 FARM HOUSE LANE, FAIR PLAY, SC 29643
- **Practice address phone:** (864) 972-1072
- **Practice address fax:** (864) 972-1072
- **Mailing address:** 207 FARM HOUSE LANE, FAIR PLAY, SC 29643
- **Mailing address phone:** (864) 972-1072
- **Mailing address fax:** (864) 972-1072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CRC 1401 | CRCF | SC |