NPI 1144862376
Countryside Manor LLC
Practice location
- Address
- 1415 E US Highway 54, Vandalia, MO 63382-2908
- Phone
- (573) 594-6215
Authorised official
- Name
- Karen Harrower
- Title
- Adminstrator
- Phone
- (573) 473-2563
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1144862376
- Entity type
- Organization
- NPI issued
- 9 Oct 2019
- Record last updated
- 9 Oct 2019
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.