Organization
COUNTRYSIDE NURSING AND REHABILITATION LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN D. FLAGG (CEO)
(940) 387-4388
Entity
Organization
Contact information
Practice address
1700 N WASHINGTON ST, PILOT POINT, TX 76258-3716
(940) 686-5556
(940) 686-2092
Mailing address
419 S ELM ST, DENTON, TX 76201-6085
(940) 387-4388
(940) 380-2410
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004282
—
TX
01
—
155686201
TMHP CROSS OVER
TX
Enumeration date
09/30/2005
Last updated
01/30/2019
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