Organization · Type 2 NPI

Countryside Manor Nursing and Rehabilitation LLC

Skilled Nursing Facility · Fremont, OH

NPI number 1952887549 Active

Practice location

1865 Countryside Dr
Fremont, OH 43420-8748

Call (419) 334-2602 Map

Fax (419) 344-6287

Mailing address

15 America Ave Unit 304
Lakewood, NJ 08701-4582

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	2362N (OH)

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 1952887549

Countryside Manor Nursing and Rehabilitation LLC's National Provider Identifier is 1952887549, issued on Jul 17, 2018. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Fremont, OH. The record was last updated on Jul 17, 2018.