CT
COUNTRYSIDE TN OPCO LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
LAWRENCEBURG, TN
Licensed since
2018
Rate
—
Federal identifiers
NPI registry number1013492743
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameDAVID HERSKOWITZ
TitleCEO
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