Organization
COUNTRYSIDE CENTER FOR REHABILITATION AND NURSING, LLC
Active
Other names
Countryside Center for Rehabilitation and Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
MICK VUJANOVIC (CEO)
(502) 667-8150
Entity
Organization
Contact information
Practice address
47 MARGO AVE, BARDWELL, KY 42023-9005
(270) 628-5424
Mailing address
2100 CHEROKEE RIDGE WAY STE 100, LOUISVILLE, KY 40205-1600
(502) 667-8150
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
KY
314000000X
Skilled Nursing Facility
Primary
—
KY
385H00000X
Respite Care
—
KY
Other
Enumeration date
02/19/2018
Last updated
10/09/2024
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