| NPI | 1881210136 |
|---|---|
| Doing Business As | COUNTRYSIDE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | KIRA BELLIS Regional Business Office Manager 541-610-5847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |