Organization
COUNTRY CARE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL TIFFANY FAUTH (ADMINISTRATOR/ OWNER)
(989) 430-8117
Entity
Organization
Contact information
Practice address
4735 W LUDINGTON DR, FARWELL, MI 48622-9796
(989) 588-2052
Mailing address
4735 W LUDINGTON DR, FARWELL, MI 48622-9796
(989) 430-8117
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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