Organization
COUNTRYSIDE HEALTH INVESTORS LLC
Active
Other names
Countryside Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SORRELLS (MEMBER)
(812) 525-1114
Entity
Organization
Contact information
Practice address
6120 MORNINGSIDE AVE, SIOUX CITY, IA 51106-3943
(712) 276-3000
(712) 266-2167
Mailing address
6120 MORNINGSIDE AVE, SIOUX CITY, IA 51106-3943
(712) 276-3000
(712) 266-2167
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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