Countryside Retirement Home of Sioux City, Iowa
NPI #1104825876 in Sioux City, Iowa
Provider Information
- NPI Number
- 1104825876
- Entity Type
- Organization
- Organization Name
- Countryside Retirement Home of Sioux City, Iowa
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jul 15, 2005
- Last Updated
- Sep 11, 2009
Practice Location
- Address
- 6120 MORNINGSIDE AVE
- City
- Sioux City
- State
- Iowa
- ZIP Code
- 51106-3943
- Phone
- (712) 276-3000
Authorized Official
- Name
- DEBBIE MENZENBERG
- Title
- EXECUTIVE DIRECTOR
- Phone
- (712) 276-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
| Nursing Facility/Intermediate Care Facility |
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