Organization · Type 2 NPI
Countryside Home
Adult Care Home Facility · Wellington, KS
NPI number
1598893869
Active
Practice location
122 S Countryside Ln
Wellington, KS 67152-8077
Fax (620) 326-2254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | B096014 (KS) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1598893869
Countryside Home's National Provider Identifier is 1598893869, issued on Mar 1, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Wellington, KS. The record was last updated on Jul 14, 2008.