Organization
COUNTRY CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA KELLY O'DONNELL BSN, RN, MBA, ADMIN (PRESIDENT, COUNTRY CARE, INC)
(913) 773-5517
Entity
Organization
Contact information
Practice address
515 DAWSON ST, EASTON, KS 66020-9200
(913) 773-5517
(913) 773-5562
Mailing address
515 DAWSON ST, EASTON, KS 66020-9200
(913) 773-5517
(913) 773-5562
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N052002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109970A
—
KS
Enumeration date
11/18/2005
Last updated
01/18/2012
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