Countryside Home
Countryside Home is an Adult Care Home Facility in Wellington, Kansas. Licensed in Kansas. Registered with an NPI since 2007.
- Licensed in
- KS
- In the registry since
- 2007
Practice location Address checks out
122 S Countryside LnWellington, KS 67152-8077
Phone: (620) 326-8749
Fax: (620) 326-2254
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence B096014 (KS) |
|---|
Record details
| NPI number | 1598893869 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Channity Farley — Owner Operator · (620) 326-8749 |
| NPI enumerated | March 1, 2007 |
| Last updated in NPPES | July 14, 2008 |
| Mailing address | 122 S Countryside Ln, Wellington, KS 67152-8077 |