COUNTRY GROVE HOME LLC

Assisted Living Facility (Mental Illness) · NECEDAH, WI

Organization Active NPI 1306162706

Taxonomy & licensure

Specialty	Code	Primary	License	State
Assisted Living Facility (Mental Illness)	3104A0625X	✓	0011011	WI

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.