Organization
COUNTRYSIDE CONVALESCENT HOME LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MARKIVICH (CFO)
(724) 431-0770
Entity
Organization
Contact information
Practice address
8221 LAMOR ROAD, MERCER, PA 16137-3163
(724) 458-9501
(724) 662-1090
Mailing address
612 N MAIN ST, BUTLER, PA 16001-4363
(724) 431-0770
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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