Countryside Acres Assisted Living

NPI #1891053575 in Webster, Wisconsin

Provider Information

NPI Number
1891053575
Entity Type
Organization
Organization Name
Countryside Acres Assisted Living
Primary Specialty
Assisted Living Facility
Enumeration Date
May 1, 2012
Last Updated
May 1, 2012

Practice Location

Address
5788 COUNTY ROAD C
ZIP Code
54893-8719
Phone
(715) 866-4411

Authorized Official

Name
SARA JO STADLER, LPN
Title
ADMINISTRATOR
Phone
(715) 866-4411

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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