| NPI | 1033107248 |
|---|---|
| Doing Business As | MT VERNON COUNTRYSIDE MANOR |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JASON MILLS CFO 314-566-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 1656261) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2024-03-18 |