| NPI | 1497753834 |
|---|---|
| Doing Business As | COUNTRYSIDE NURSING AND REHABILITATION COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | DENNIS LOCKHART Chief Accounting Officer 614-416-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI AH800236748) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MI 80-4050) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2014-02-13 |