| NPI | 1427406842 |
|---|---|
| Doing Business As | COUNTRYSIDE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | BRUCE E WERTHEIM Manager 813-347-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2022-04-11 |