Countryside Manor Llc

LBN: Countryside Manor Llc
Countryside Manor Llc is an health care organization with primary practice located at 1415 E Us Highway 54 , Vandalia MO 63382-2908. The organization recently has only one registered license in Agencies / Nursing Care, which is considered as the primary health care specialty. Countryside Manor Llc can be contacted via phone (573) 594-6215, or through Harrower, Karen via phone (573) 473-2563.

Contact Information

Primary practice address
1415 E Us Highway 54 Vandalia MO 63382-2908
Phone: (573) 594-6215
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harrower, Karen ADMINSTRATOR
Phone: (573) 473-2563

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X

Profile Details

NPI number 1144862376
LBN Legal business name Countryside Manor Llc
DBA Doing business as
Authorized official Harrower, Karen ADMINSTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2019
Last updated Oct 9th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers