Organization · Type 2 NPI
Country Living Care Homes LLC
Assisted Living Facility · Mountain Grove, MO
NPI number
1275811333
Active
Practice location
2820 N Main Ave
Mountain Grove, MO 65711-1403
Fax (417) 926-1951
Mailing address
PO Box 649
Mountain Grove, MO 65711-0649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 039387 (MO) |
Assisted Living Facility: 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.
About NPI 1275811333
Country Living Care Homes LLC's National Provider Identifier is 1275811333, issued on Jul 23, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mountain Grove, MO. The record was last updated on Aug 29, 2011.