| NPI | 1902892276 |
|---|---|
| Doing Business As | COUNTRYSIDE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY ANN WOOD Administrator 770-646-3861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2009-08-26 |