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Organization

COUNTRY MANOR CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA MARIE RUFF LPN (LIC. NURSE / OWNER /PARTNER)
(269) 465-5320
Entity
Organization

Contact information

Practice address
11241 CALIFORNIA, BRIDGMAN, MI 49106-9731
(269) 465-5320
(269) 465-5320
Mailing address
11241 CALIFORNIA, BRIDGMAN, MI 49106-9731
(269) 465-5320
(269) 465-5320

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AM110076805
MI

Other

Enumeration date
09/25/2013
Last updated
09/25/2013
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