| NPI | 1114365657 |
|---|---|
| Doing Business As | COUNTRYSIDE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | TERRY TOLSON Manager 404-644-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-071-2017) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-09-27 |