# COUNTRY OAKS CARE CENTER, INC

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

## Provider details

- **NPI number:** 1922004407
- **Authorized official:** MRS. SHARON L HENNING (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (805) 922-6657

## Contact information

- **Practice address:** 830 E CHAPEL ST, SANTA MARIA, CA 93454-4610
- **Practice address phone:** (805) 922-6657
- **Practice address fax:** (805) 928-9283
- **Mailing address:** 830 E CHAPEL ST, SANTA MARIA, CA 93454-4610
- **Mailing address phone:** (805) 922-6657
- **Mailing address fax:** (805) 928-9283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05826H | — | CA |