Organization
COUNTRY INN RETIREMENT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX GRANT MACARAIG (OWNER)
(707) 363-8762
Entity
Organization
Contact information
Practice address
1109B LA GRANDE AVE, NAPA, CA 94558-2127
(707) 252-3392
(707) 252-8799
Mailing address
1109B LA GRANDE AVE, NAPA, CA 94558-2127
(707) 252-3392
(707) 252-8799
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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