Countryside Care Centre LP

NPI #1063498285 in Aurora, Illinois

Provider Information

NPI Number
1063498285
Entity Type
Organization
Organization Name
Countryside Care Centre LP
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 20, 2005
Last Updated
Feb 20, 2012

Practice Location

Address
2330 W GALENA BLVD
City
Aurora
ZIP Code
60506-4246
Phone
(630) 896-4686

Authorized Official

Name
MR. MICHAEL CHARLES BRAUN
Title
CONTROLLER
Phone
(847) 583-0100

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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