NPI: 1356370472
Provider Name: LIBERTY NURSING CENTER OF FREMONT, INC
Doing Business As: COUNTRYSIDE CONTINUING CARE CENTER
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization
Specialization: Nursing Care, Pediatric
Address:
1865 COUNTRYSIDE DR
FREMONT, OH
ZIP 43420
Phone: (419) 334-2602
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LIBERTY NURSING CENTER OF FREMONT, INC is a nursing care and pediatric skilled nursing facility in Fremont, OH. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. LIBERTY NURSING CENTER OF FREMONT, INC NPI is 1356370472. The provider is registered as an organization entity type.
The provider Is Doing Business As Countryside Continuing Care Center.
The provider's business location address is:
1865 COUNTRYSIDE DR
FREMONT, OH
ZIP 43420-748
Phone: (419) 334-2602
Fax: (419) 334-6287
The provider's authorized official is Linda Black-kurek .
The authorized official title is President and has the following contact phone number (937) 296-1550.
The enumeration date for this NPI number is 7/1/2006 and was last updated on 6/13/2013.