institution
Countryside Manor
Assisted Living Facility in Vandalia, Missouri
NPI 1801099213

Countryside Manor is an Assisted Living Facility based in Vandalia, MO. Countryside Manor practices in Vandalia, MO. The NPI Number for Countryside Manor is 1801099213 and holds a License No. 0327 (Missouri).

The current practice location address for Countryside Manor is 1415 E Us Highway 54, Vandalia, MO and can be reached out via phone at 573-594-6215.

Location: 1415 E Us Highway 54, Vandalia, MO, 63382-2908
institution
Provider Profile Details
NPI Number
1801099213
Provider Name
Countryside Manor
Credential
Provider Entity Type
Organization
Address
1415 E Us Highway 54, Vandalia, MO, 63382-2908
Phone Number
573-594-6215
Fax Number
Provider Enumeration Date
06/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1415 E Us Highway 54
City
State
Zip
63382-2908
Phone Number
573-594-6215
Fax Number
person
Provider Business Mailing Address Details
Address
1415 E Us Highway 54
City
State
Zip
63382-2908
Phone Number
573-594-6215
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
0327 (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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