Organization
COUNTRY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL THOMAS HARRIS (PRESIDENT)
(928) 274-0702
Entity
Organization
Contact information
Practice address
3980 E CASSIE LANE, COTTONWOOD, AZ 86326
(928) 649-0434
(928) 649-0238
Mailing address
5302 N 43RD PLACE, PHOENIX, AZ 85018-1672
(928) 274-0702
(602) 808-9186
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH4144
AZ
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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