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1144862376
COUNTRYSIDE MANOR LLC
VANDALIA, MO
NPI
1144862376
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Entity Type
Organization
Authorized Contact
KAREN HARROWER
Adminstrator
573-473-2563
Organization Subpart ?
No
Primary Taxonomy
251J00000X Nursing Care
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
COUNTRYSIDE MANOR LLC
1415 E US HIGHWAY 54
VANDALIA, MO 63382-2908
Phone number: 573-594-6215
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Mailing Address
COUNTRYSIDE MANOR LLC
1415 E US HIGHWAY 54
VANDALIA, MO 63382-2908
Phone number: 573-594-6215
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