| NPI | 1598096356 |
|---|---|
| Doing Business As | COUNTRYSIDE HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | NOELLE DIAZ BICKEL Licensing Specialist 206-298-2909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF-0701) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |