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COUNTRY GROVE HOME LLC

Assisted Living Facility (Mental Illness)

NPI: 1306162706Organization

Specialties, Licenses & Credentials

Assisted Living Facility — Assisted Living, Mental Illness

Code: 3104A0625X

0011011(WI)

Contact & Hours

Address
N11151 17TH AVE
NECEDAH, WI 54646

Quick Facts

NPI
1306162706
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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