# WELLS HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Countryside Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164420451
- **Authorized official:** MR. TERRY LYNN SKAGGS (CFO)
- **Authorized official phone:** (270) 926-9355

## Contact information

- **Practice address:** 47 MARGO AVE, BARDWELL, KY 42023-9005
- **Practice address phone:** (270) 628-5424
- **Practice address fax:** (270) 628-0311
- **Mailing address:** 725 HARVARD DR, OWENSBORO, KY 42301-6185
- **Mailing address phone:** (270) 926-9355
- **Mailing address fax:** (270) 684-6283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100663 | KY | Yes |

## Other

- **Enumeration date:** 07/11/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12502639 | — | KY |