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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COUNTRY CLUB RETIREMENT CENTER LLC

Active Organization

COUNTRY CLUB RETIREMENT CENTER LLC is a Skilled Nursing Facility organization located in ASHTABULA, Ohio. NPI 1144372137 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · ASHTABULA, OH

Registration Details

NPI Number
1144372137
Provider Type
Organization
NPI Issued
Jan 18, 2007 (19.598224277996 yrs)
Last Updated
Apr 12, 2013
Licenses
4561 (OH)
3469 (OH)

Practice Information

Address
925 E 26TH ST
ASHTABULA, OH, 440045061
Browse OH providers · Browse ZIP 44004
Phone
4409920022
Fax
4409927423
Primary Specialty
Skilled Nursing Facility
314000000X
Additional Specialty
Skilled Nursing Facility

Other Skilled Nursing Facility Organizations in ASHTABULA, OH

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.