| NPI | 1417390196 |
|---|---|
| Doing Business As | COUNTRYSIDE MANOR OF BRISTOL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MOSIER CFO 860-751-3900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2285c) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |