| NPI | 1649642976 |
|---|---|
| Doing Business As | COUNTRYSIDE HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SORRELLS Member 812-525-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |