COUNTRYSIDE HOME
Adult Care Home
Wellington, Kansas
Provider NPI: 1598893869
Organization Information:Organization Name: COUNTRYSIDE HOME
Practice Location:
122 S COUNTRYSIDE LN WELLINGTON, KS 67152 US
Tel: 620-326-8749 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
122 S COUNTRYSIDE LN WELLINGTON, KS 67152 US
Tel: 620-326-8749 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | KS | B096014 |