Organization
COUNTRYCARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA WRIGHT RN (OWNER/ADMINSTRATOR)
(801) 557-8777
Entity
Organization
Contact information
Practice address
465 E SEGO LILY DR, SANDY, UT 84070-3547
(801) 557-8777
Mailing address
465 E SEGO LILY DR, SANDY, UT 84070-3547
(801) 557-8777
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2012-AL1 844
—
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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