Organization
COUNTRYSIDE NURSING AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSHE ORLINSKY (MANAGER)
(314) 588-7518
Entity
Organization
Contact information
Practice address
6120 MORNINGSIDE AVE, SIOUX CITY, IA 51106-3943
(712) 276-3000
Mailing address
211 N BROADWAY, SUITE 2035, SAINT LOUIS, MO 63102-2711
(314) 588-7518
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800300
—
IA
Enumeration date
07/24/2009
Last updated
09/30/2009
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