Organization · Type 2 NPI

Countryside Care Center Corp.

Skilled Nursing Facility · Terre Haute, IN

NPI number 1760415079 Active

Practice location

1001 E Springhill Dr
Terre Haute, IN 47802-4547

Fax (812) 299-4492

Mailing address

101 Sun Ave NE, Compliance Department
Albuquerque, NM 87109-4373

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X05-000119-2 (IN)

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…

3 other providers at this address

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About NPI 1760415079

Countryside Care Center Corp.'s National Provider Identifier is 1760415079, issued on Jul 9, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Terre Haute, IN. The record was last updated on Oct 9, 2008.