NPI 1063540706

Country Gardens, INC

Organisation Assisted Living Facility Cape Girardeau, MO

Practice location

Address: 210 Franks Ln, Cape Girardeau, MO 63701-8439
Phone: (573) 334-7679
Fax: (573) 334-8145

Authorised official

Name: Tomi Sample
Title: President
Phone: (573) 334-7679

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 031521 (MO)

Other Assisted Living Facility providers in Missouri →

Registry record

NPI: 1063540706
Entity type: Organization
NPI issued: 2 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.