Organization · Type 2 NPI

Countryside Nursing LLC

Skilled Nursing Facility · Buchanan, GA

NPI number 1114365657 Active

Practice location

233 Carrollton St
Buchanan, GA 30113-4917

Fax (770) 646-3601

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	1-071-2017 (GA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1114365657

Countryside Nursing LLC's National Provider Identifier is 1114365657, issued on Jun 6, 2013. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Buchanan, GA. The record was last updated on Sep 27, 2013.