Organization
COUNTRY CHRISTIAN CARE INC
Active
Other names
Alzheirmers Dementia Assisted Living CRCF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MARIE ZABOROWSKI 759C97 ADMINISTRATOR (ADMINISTRATOR)
(864) 972-1072
Entity
Organization
Contact information
Practice address
207 FARM HOUSE LANE, FAIR PLAY, SC 29643
(864) 972-1072
(864) 972-1072
Mailing address
207 FARM HOUSE LANE, FAIR PLAY, SC 29643
(864) 972-1072
(864) 972-1072
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CRC 1401
CRCF
SC
Enumeration date
03/20/2007
Last updated
08/22/2020
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