Organization
COUNTRYSIDE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW STILL RN, BSN (SYSTEM ADMINISTRATOR)
(719) 232-3208
Entity
Organization
Contact information
Practice address
2454 HIGHWAY 15, ABILENE, KS 67410-6084
(785) 576-1607
(785) 263-9885
Mailing address
2454 HIGHWAY 15, ABILENE, KS 67410-6084
(785) 576-1607
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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