CC
COUNTRYSIDE CARE CENTER, INC.
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
JACKSON, MI
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1164597688
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameJOHN GANTON
TitleADMINISTRATOR
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