Organization
COUNTRYHOUSE COUNCIL BLUFFS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY RANDELS (VP ASSET MANAGEMENT)
(531) 800-3364
Entity
Organization
Contact information
Practice address
1831 E KANESVILLE BLVD, COUNCIL BLUFFS, IA 51503-4767
(712) 322-4100
Mailing address
1831 E KANESVILLE BLVD, COUNCIL BLUFFS, IA 51503-4767
(712) 322-4100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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