Organization · Type 2 NPI
Countryside Manor
Assisted Living Facility · Vandalia, MO
NPI number
1801099213
Active
Practice location
1415 E US Highway 54
Vandalia, MO 63382-2908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 0327 (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.
Another provider at this address
About NPI 1801099213
Countryside Manor's National Provider Identifier is 1801099213, issued on Jun 6, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Vandalia, MO. The record was last updated on Aug 22, 2020.