Organization
WC-COUNTRYWOOD OPS, LLC
Active
Other names
Countrywood Assisted Living and Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES LEVY (SECRETARY)
(312) 673-4387
Entity
Organization
Contact information
Practice address
1604 S 13TH ST, KINGFISHER, OK 73750-4619
(405) 375-5232
Mailing address
303 E WACKER DR STE 2400, CHICAGO, IL 60601-7800
(312) 673-4387
(312) 673-4487
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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