Organization
COUNTRYSIDE NURSING HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L STEACIE (ADMINISTRATOR)
(508) 872-5250
Entity
Organization
Contact information
Practice address
153 WINTER ST, FRAMINGHAM, MA 01702-2433
(508) 872-5250
(508) 872-1217
Mailing address
153 WINTER ST, FRAMINGHAM, MA 01702-2433
(508) 872-5250
(508) 872-1217
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0367
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0901547
—
MA
Enumeration date
10/04/2005
Last updated
08/22/2020
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