COUNTRYSIDE HOME, LLC

Assisted Living Facility

Active Organization
NPI: 1043520133

Practice Address

24499 PARK DR
Lebanon, MO 65536

Phone: (417) 532-7418

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes -

Frequently Asked Questions

NPI 1043520133 is the National Provider Identifier for COUNTRYSIDE HOME, LLC, a Assisted Living Facility provider located in Lebanon, MO. This NPI was enumerated on October 7, 2010.

Quick Facts

NPI
1043520133
Type
Organization
Enumerated
Oct 7, 2010
Last Updated
Oct 7, 2010

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