Organization
COUNTRYSIDE CONTINUING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA BLACK-KUREK (OWNER)
(937) 296-1550
Entity
Organization
Contact information
Practice address
1865 COUNTRYSIDE DR, FREMONT, OH 43420-8748
(419) 334-2602
Mailing address
1865 COUNTRYSIDE DR, FREMONT, OH 43420-8748
(419) 334-2602
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6160
OH
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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