Organization
COUNTRY HEALTH, INC
Active
Other names
Country Health Care & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M UNDERWOOD (SR. VP & CFO)
(309) 823-7135
Entity
Organization
Contact information
Practice address
2304 COUNTY ROAD 3000 N, GIFFORD, IL 61847-9756
(217) 568-7362
(217) 568-7314
Mailing address
2304 COUNTY ROAD 3000 N, GIFFORD, IL 61847-9756
(217) 568-7362
(217) 568-7314
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0007880
IL
Other
Enumeration date
11/02/2005
Last updated
05/27/2014
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