Provider Demographics
NPI:1356661201
Name:UNITED COUNTRY CARE INC.
Entity Type:Organization
Organization Name:UNITED COUNTRY CARE INC.
Other - Org Name:RICE MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-531-3005
Mailing Address - Street 1:PO BOX 84
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:MI
Mailing Address - Zip Code:49269-0084
Mailing Address - Country:US
Mailing Address - Phone:517-531-3005
Mailing Address - Fax:517-531-5775
Practice Address - Street 1:356 S UNION ST
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:MI
Practice Address - Zip Code:49269-9418
Practice Address - Country:US
Practice Address - Phone:517-531-3005
Practice Address - Fax:517-531-5775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAL380007070320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities