| NPI | 1396791349 |
|---|---|
| Doing Business As | COUNTRYSIDE REHAB AND HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | SANDRA A. RYCZEK Manager 727-784-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF11060962) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2012-08-02 |