Countryside Care Center LLC

NPI #1538996038 in Macomb, Illinois

Provider Information

NPI Number
1538996038
Entity Type
Organization
Organization Name
Countryside Care Center LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 18, 2024
Last Updated
Sep 18, 2024

Practice Location

Address
400 W GRANT ST
City
Macomb
ZIP Code
61455-2867
Phone
(309) 837-2386

Authorized Official

Name
BENJAMIN FRIEDMAN
Title
CFO
Phone
(845) 414-3300

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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