Organization
COUNTRY AIRE HEALTHCARE LLC
Active
Other names
Country Aire Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD DAVID PERLOW (AUTHORIZED PERSON)
(443) 928-3278
Entity
Organization
Contact information
Practice address
18540 STATE HIGHWAY 16, LEWISTOWN, MO 63452-2111
(573) 215-2216
Mailing address
110 ROCKAWAY TPKE STE 6, LAWRENCE, NY 11559-1626
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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