NPI 1922139096

Countryside Home INC

Organisation Assisted Living Facility Abilene, KS

Practice location

Address: 2454 Hwy 15 North, Abilene, KS 67410-6084
Phone: (785) 263-7197
Fax: (785) 263-9885

Authorised official

Name: Pam J Martin
Title: Owner Operator
Phone: (785) 263-7197

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence N021006 (KS)

Other Assisted Living Facility providers in Kansas →

Registry record

NPI: 1922139096
Entity type: Organization
NPI issued: 8 Mar 2007
Record last updated: 22 Aug 2020

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.