institution
Countryside Home, Llc
Assisted Living Facility in Lebanon, Missouri
NPI 1043520133

Countryside Home, Llc is an Assisted Living Facility based in Lebanon, MO. Countryside Home, Llc practices in Lebanon, MO. The NPI Number for Countryside Home, Llc is 1043520133 and holds a License No. (Missouri).

The current practice location address for Countryside Home, Llc is 24499 Park Dr, Lebanon, MO and can be reached out via phone at 417-532-7418 and via fax at 417-532-9359.

Location: 24499 Park Dr, Lebanon, MO, 65536-5843
institution
Provider Profile Details
NPI Number
1043520133
Provider Name
Countryside Home, Llc
Credential
Provider Entity Type
Organization
Address
24499 Park Dr, Lebanon, MO, 65536-5843
Phone Number
417-532-7418
Fax Number
417-532-9359
Provider Enumeration Date
10/07/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24499 Park Dr
City
State
Zip
65536-5843
Phone Number
417-532-7418
Fax Number
417-532-9359
person
Provider Business Mailing Address Details
Address
24499 Park Dr
City
State
Zip
65536-5843
Phone Number
417-532-7418
Fax Number
417-532-9359
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
(Missouri)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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