COUNTRYHOUSE CEDAR RAPIDS LLC NPI 1235739582

NPI Information

COUNTRYHOUSE CEDAR RAPIDS LLC is an assisted living facility in Cedar Rapids, IA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COUNTRYHOUSE CEDAR RAPIDS LLC NPI is 1235739582. The provider is registered as an organization entity type.

The provider's business location address is:

5710 GIBSON DRIVE NE
CEDAR RAPIDS, IA
ZIP 52411
Phone: (712) 322-4100

The provider's authorized official is Rachel Helen Benda .
The authorized official title is Director Of Operations and has the following contact phone number (319) 250-4967.

The CLIA number assigned to this NPI record is 16D2125462 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2020 and was last updated on 10/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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