| NPI | 1902495112 |
|---|---|
| Doing Business As | COUNTRYSIDE HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ISAAC DOLE President/CEO 312-724-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-01-20 |