NPI | 1154481943 |
---|---|
Doing Business As | COUNTRYSIDE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL D TRYON CFO 785-272-1535 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS 100110320A) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2020-08-22 |