| NPI | 1952575011 | 
|---|---|
| Doing Business As | COUNTRY MANOR HEALTH AND REHAB CENTER | 
| Entity Type | Organization | 
| Authorized Contact | KEVIN HARGUTH C.F.O. 320-258-8983  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 314000000X Skilled Nursing Facility | 
| Enumeration Date | 2008-04-18 | 
| Last Update Date | 2021-06-30 |