Organization · Type 2 NPI

Countryside Manor LLC

Nursing Care Agency · Vandalia, MO

NPI number 1144862376 Active

Practice location

1415 E US Highway 54
Vandalia, MO 63382-2908

Specialties and licenses

TaxonomyCodeLicense
Nursing Care Agency Primary 251J00000XNone listed

Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

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About NPI 1144862376

Countryside Manor LLC's National Provider Identifier is 1144862376, issued on Oct 9, 2019. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Vandalia, MO. The record was last updated on Oct 9, 2019.