| NPI | 1023278074 |
|---|---|
| Doing Business As | COUNTRY HOME |
| Entity Type | Organization |
| Authorized Contact | CANDACE RAE STEARNS Owner/Operator 573-223-4689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |