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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COUNTRYSIDE HOME, LLC

Active Organization

COUNTRYSIDE HOME, LLC is a Assisted Living Facility organization located in LEBANON, Missouri. NPI 1043520133 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · LEBANON, MO

Registration Details

NPI Number
1043520133
Provider Type
Organization
NPI Issued
Oct 7, 2010 (15.885696543011 yrs)
Last Updated
Oct 7, 2010

Practice Information

Address
24499 PARK DR
LEBANON, MO, 655365843
Browse MO providers · Browse ZIP 65536
Phone
4175327418
Fax
4175329359
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Organizations in LEBANON, MO

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.