| NPI | 1851402093 |
|---|---|
| Doing Business As | COUNTRYSIDE CARE AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM A MATHIES President Director 505-821-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-09-30 |