1043520133 COUNTRYSIDE HOME, LLC

Assisted Living Facility

Active

Basic Information

Organization Name
COUNTRYSIDE HOME, LLC
Enumeration Date
October 7, 2010
Last Update
October 7, 2010
Authorized Official
MS. MARY KAY HOWLETT
OWNER/ADMINISTRATOR
Phone: (417) 532-7418

Practice Location

Address
24499 PARK DR
LEBANON, MO 655365843
Phone
(417) 532-7418
Fax
(417) 532-9359

Mailing Address

Address
24499 PARK DR
LEBANON, MO 655365843
Phone
(417) 532-7418
Fax
(417) 532-9359

Specialties & Taxonomies

Specialty Code Classification License State Primary
Assisted Living Facility
310400000X Assisted Living Facility N/A MO Primary

Frequently Asked Questions

What is COUNTRYSIDE HOME, LLC's NPI number?
COUNTRYSIDE HOME, LLC's NPI number is 1043520133.
Which doctor has NPI number 1043520133?
The doctor with NPI number 1043520133 is COUNTRYSIDE HOME, LLC.
What is COUNTRYSIDE HOME, LLC's practice address?
COUNTRYSIDE HOME, LLC's practice address is 24499 PARK DR, LEBANON, MO, 655365843.
Which doctor practices at 24499 PARK DR, LEBANON, MO, 655365843?
COUNTRYSIDE HOME, LLC practices at 24499 PARK DR, LEBANON, MO, 655365843.
What is COUNTRYSIDE HOME, LLC's phone number?
COUNTRYSIDE HOME, LLC's phone number is (417) 532-7418.
Who is (417) 532-7418?
(417) 532-7418 is the phone number for COUNTRYSIDE HOME, LLC.
What is COUNTRYSIDE HOME, LLC's specialty?
COUNTRYSIDE HOME, LLC's specialty is Assisted Living Facility.
What type of doctor is COUNTRYSIDE HOME, LLC?
COUNTRYSIDE HOME, LLC is a Assisted Living Facility.
Is COUNTRYSIDE HOME, LLC a Assisted Living Facility?
Yes, COUNTRYSIDE HOME, LLC is a Assisted Living Facility.
Is COUNTRYSIDE HOME, LLC still practicing?
Yes, COUNTRYSIDE HOME, LLC is currently practicing.
Is COUNTRYSIDE HOME, LLC accepting new patients?
COUNTRYSIDE HOME, LLC may be accepting new patients. Please call their office at (417) 532-7418 to inquire about availability.
Is NPI 1043520133 still active?
Yes, NPI 1043520133 is currently active.
Where does COUNTRYSIDE HOME, LLC practice?
COUNTRYSIDE HOME, LLC practices in LEBANON, MO.