Countryside Nursing LLC

NPI #1114365657 in Buchanan, Georgia

Provider Information

NPI Number
1114365657
Entity Type
Organization
Organization Name
Countryside Nursing LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 6, 2013
Last Updated
Sep 27, 2013

Practice Location

Address
233 CARROLLTON ST
State
Georgia
ZIP Code
30113-4917
Phone
(770) 646-3861

Authorized Official

Name
TERRY TOLSON
Title
MANAGER
Phone
(404) 644-0471

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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