| NPI | 1336252089 |
|---|---|
| Doing Business As | COUNTRYSIDE ESTATES, INC. |
| Entity Type | Organization |
| Authorized Contact | JACK SCOTT ROGERS Administrator 918-463-5143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK nh51025102) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |