| NPI | 1366587966 |
|---|---|
| Doing Business As | COUNTRYSIDE MANOR HEALTH & LIVING |
| Entity Type | Organization |
| Authorized Contact | KENT RODGERS CFO 812-332-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 060001601) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2016-05-13 |