Organization
OUR COUNTRYSIDE RESORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RAMOS (LICENSEE)
(951) 657-3557
Entity
Organization
Contact information
Practice address
18111 HAINES ST, PERRIS, CA 92570-9251
(951) 657-3557
Mailing address
18111 HAINES ST, PERRIS, CA 92570-9251
(951) 657-3557
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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