Organization
COUNTRYHOUSE CEDAR RAPIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL HELEN BENDA (DIRECTOR OF OPERATIONS)
(319) 250-4967
Entity
Organization
Contact information
Practice address
5710 GIBSON DRIVE NE, CEDAR RAPIDS, IA 52411
(712) 322-4100
Mailing address
5710 GIBSON DRIVE NE, CEDAR RAPIDS, IA 52411
(712) 322-4100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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