Organization
COUNTRY EASY LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKALA J HOFMANN (OWNER)
(231) 580-3350
Entity
Organization
Contact information
Practice address
5478 210TH AVE, REED CITY, MI 49677-8626
(231) 465-4103
Mailing address
5478 210TH AVE, REED CITY, MI 49677-8626
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
08/26/2024
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