Organization · Type 2 NPI

Countryside Manor, Inc

Skilled Nursing Facility · Stokesdale, NC

NPI number 1992790810 Active

Practice location

7700 US Highway 158
Stokesdale, NC 27357-9346

Fax (336) 643-9906

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility 310400000XNH0226 (NC)
Nursing Facility/Intermediate Care Facility 313M00000XNH0226 (NC)
Skilled Nursing Facility Primary 314000000XNH0226 (NC)

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 1992790810

Countryside Manor, Inc's National Provider Identifier is 1992790810, issued on Sep 16, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Stokesdale, NC. The record was last updated on Sep 11, 2025.