Countryside Manor Nursing And Rehabilitation Llc

LBN: Countryside Manor Nursing And Rehabilitation Llc
Countryside Manor Nursing And Rehabilitation Llc is an health care organization with primary practice located at 1865 Countryside Dr , Fremont OH 43420-8748. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Countryside Manor Nursing And Rehabilitation Llc can be contacted via phone (419) 334-2602, or through Williams, Hayley via phone (216) 706-3936.

Contact Information

Primary practice address
1865 Countryside Dr Fremont OH 43420-8748
Phone: (419) 334-2602
Fax: (419) 344-6287
Website:
Map and Directions
Authorized official contact:
Name: Williams, Hayley
Phone: (216) 706-3936

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2362N Ohio

Profile Details

NPI number 1952887549
LBN Legal business name Countryside Manor Nursing And Rehabilitation Llc
DBA Doing business as
Authorized official Williams, Hayley
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2018
Last updated Jul 17th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952887549 NPPES
Ohio Other 2362N LICENSURE

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