NPI
Countryside Center for Rehabilitation and Nursing, LLC
Doing business as Countryside Center for Rehabilitation and Nursing. NPI 1972003721
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2018-02-19
- Last updated
- 2024-10-09
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Specialties
Licenses
- License KY
- Number not in the file
Location
- Practice location
- 47 Margo Ave
- City
- Bardwell KY
- Postal code
- 42023-9005
- Phone
- (270) 628-5424
Organization contact
- Name
- Mick Vujanovic
- Title
- CEO
- Phone
- (502) 667-8150
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Bardwell, KY. 29 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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