Countryside Healthcare

NPI #1750426144 in Dolton, Illinois

Provider Information

NPI Number
1750426144
Entity Type
Organization
Organization Name
Countryside Healthcare
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 21, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1635 E 154TH ST
City
Dolton
ZIP Code
60419-3001
Phone
(708) 841-9550

Authorized Official

Name
JENNIE SHAN-MARTIN
Title
CONTROLLER
Phone
(847) 329-1555

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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