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Countryside Home
Adult Care Home Facility in Wellington, Kansas
NPI 1598893869

Countryside Home is an Adult Care Home Facility based in Wellington, KS and is specialized in Adult Care Home. Countryside Home practices in Wellington, KS. The NPI Number for Countryside Home is 1598893869 and holds a License No. B096014 (Kansas).

The current practice location address for Countryside Home is 122 S Countryside Ln, Wellington, KS and can be reached out via phone at 620-326-8749 and via fax at 620-326-2254.

Location: 122 S Countryside Ln, Wellington, KS, 67152-8077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598893869
Provider Name
Countryside Home
Credential
Provider Entity Type
Organization
Address
122 S Countryside Ln, Wellington, KS, 67152-8077
Phone Number
620-326-8749
Fax Number
620-326-2254
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
122 S Countryside Ln
City
Wellington
State
Kansas
Zip
67152-8077
Phone Number
620-326-8749
Fax Number
620-326-2254
person
Provider Business Mailing Address Details
Address
122 S Countryside Ln
City
Wellington
State
Kansas
Zip
67152-8077
Phone Number
620-326-8749
Fax Number
620-326-2254
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
B096014 (Kansas)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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