| NPI | 1164420451 |
|---|---|
| Doing Business As | COUNTRYSIDE HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | TERRY LYNN SKAGGS CFO 270-926-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100663) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-08-22 |