Garlynco Inc. Dba Our Countryside Resort

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

336406991 Issued in CA

Legal business name

GARLYNCO INC. DBA OUR COUNTRYSIDE RESORT

Practice address

18111 Haines St
Perris, CA 92570-9251

Phone

(951) 657-3557

Fax

(951) 657-3773

NPI assigned

Jun 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lynda L. Comley

Title

Administrator/Ceo

Phone

(951) 657-3557

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1114247285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 HAINES ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925709251",
            "telephone_number": "951-657-3557",
            "fax_number": "951-657-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 HAINES ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925709251",
            "telephone_number": "951-657-3557",
            "fax_number": "951-657-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLYNCO INC. DBA OUR COUNTRYSIDE RESORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "COMLEY",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "951-657-3557",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "336406991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alzheimer Center (Dementia Center) in Perris, CA
• Providers in Perris, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.