Organization
COUNTRYSIDE HEALTH CARE ASSOCIATES LLC
Active
Other names
Countryside Rehab and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA A. RYCZEK (MANAGER)
(727) 784-2848
Entity
Organization
Contact information
Practice address
3825 COUNTRYSIDE BLVD N, PALM HARBOR, FL 34684-4928
(727) 784-2848
(727) 781-1402
Mailing address
3825 COUNTRYSIDE BLVD N, PALM HARBOR, FL 34684-4928
(727) 784-2848
(727) 781-1402
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF11060962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025211500
—
FL
Enumeration date
05/25/2006
Last updated
08/02/2012
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