Organization
COUNTRY LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON OWEN LPN (OPERATOR)
(620) 842-5858
Entity
Organization
Contact information
Practice address
420 N 5TH AVE, ANTHONY, KS 67003-2134
(620) 842-5858
(620) 842-5840
Mailing address
420 N 5TH AVE, ANTHONY, KS 67003-2134
(620) 842-5858
(620) 842-5840
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N039004
KS
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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