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Organization
COUNTRY COMFORT RETIREMENT HOMES, INC
Active
Organization
COUNTRY COMFORT RETIREMENT HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL LYNN PETTETT LPN (OWNER, NURSE MANAGER)
(309) 364-3607
Entity
Organization
Contact information
Practice address
615 PATRICIA LN, HENRY, IL 61537-1037
(309) 364-3607
(309) 364-4065
Mailing address
PO BOX 186, HENRY, IL 61537-0186
(309) 364-3607
(309) 364-4065
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
5104325
IL
311500000X
Alzheimer Center (Dementia Center)
Primary
5104325
IL
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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