Whalio Doctors

NPI 1164597688

Countryside Care Center, INC.

Organisation Skilled Nursing Facility Jackson, MI

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
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 38-4180 (MI)

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.