NPI 1164597688
Countryside Care Center, INC.
Practice location
- Address
- 2121 Robinson Rd, Jackson, MI 49203-3658
- Phone
- (517) 787-4150
Authorised official
- Name
- John Ganton
- Title
- Administrator
- Phone
- (517) 787-4150
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1164597688
- Entity type
- Organization
- NPI issued
- 21 Nov 2006
- Record last updated
- 2 Feb 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.