Countryside Home INC

NPI #1922139096 in Abilene, Kansas

Provider Information

NPI Number
1922139096
Entity Type
Organization
Organization Name
Countryside Home INC
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 8, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
2454 HWY 15 NORTH
State
Kansas
ZIP Code
67410-6084
Phone
(785) 263-7197

Authorized Official

Name
MRS. PAM J MARTIN
Title
OWNER OPERATOR
Phone
(785) 263-7197

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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