NPI 1003001033

Country Care INC

Organisation Assisted Living Facility Cottonwood, AZ

Practice location

Address: 3980 E Cassie Lane, Cottonwood, AZ 86326
Phone: (928) 649-0434
Fax: (928) 649-0238
Mailing address: 5302 N 43rd Place, Phoenix, AZ 85018-1672

Authorised official

Name: Michael Thomas Harris
Title: President
Phone: (928) 274-0702

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence ALH4144 (AZ)

Other Assisted Living Facility providers in Arizona →

Registry record

NPI: 1003001033
Entity type: Organization
NPI issued: 12 Sep 2007
Record last updated: 12 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.