# COUNTRY INN RETIREMENT HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861212698
- **Authorized official:** ALEX GRANT MACARAIG (OWNER)
- **Authorized official phone:** (707) 363-8762

## Contact information

- **Practice address:** 1109B LA GRANDE AVE, NAPA, CA 94558-2127
- **Practice address phone:** (707) 252-3392
- **Practice address fax:** (707) 252-8799
- **Mailing address:** 1109B LA GRANDE AVE, NAPA, CA 94558-2127
- **Mailing address phone:** (707) 252-3392
- **Mailing address fax:** (707) 252-8799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2024
- **Last updated:** 10/16/2024