NPI | 1063781839 |
---|---|
Doing Business As | COUNTRYSIDE REHAB AND HEALTHCARE CENTER |
Entity Type | Organization |
Authorized Contact | KENNETH USSERY VP 407-571-1550 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF11060962) |
Enumeration Date | 2011-12-22 |
Last Update Date | 2023-11-27 |