Countryside Manor Healthcare Center

NPI #1356300206 in Anderson, Indiana

Provider Information

NPI Number
1356300206
Entity Type
Organization
Organization Name
Countryside Manor Healthcare Center
Primary Specialty
Skilled Nursing Facility - Nursing Care, Pediatric
Enumeration Date
Mar 20, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
205 MARINE DR
State
Indiana
ZIP Code
46016-5937
Phone
(765) 649-4558

Authorized Official

Name
MR. HERVEY LAWRENCE
Title
ADMINISTRATOR
Phone
(765) 649-4558

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility - Nursing Care, PediatricNursing Care, Pediatric

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