Organization · Type 2 NPI

Countryside Village Assisted Living Facility, LLC

Assisted Living Facility · King City, MO

NPI number 1083422729 Active

About NPI 1083422729

Countryside Village Assisted Living Facility, LLC's National Provider Identifier is 1083422729, issued on Dec 27, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in King City, MO. The record was last updated on Dec 27, 2024.