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Countryside Manor LLC — NPI 1144862376, Vandalia, MO | NPI Central

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NPI 1144862376

OrganizationActive

Countryside Manor LLC

NPI 1144862376 · Nursing Care Agency · Vandalia, MO

Provider details

NPI number: 1144862376
Entity type: Organization
Primary specialty: Nursing Care AgencyAgencies
Organization subpart: No
Authorized official: Karen Harrower, Adminstrator(573) 473-2563

Specialties & taxonomies

Nursing Care AgencyPrimary251J00000X
Agencies

Practice location

1415 E US Highway 54

Vandalia, MO 63382-2908

Phone: (573) 594-6215

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

1415 E US Highway 54

Vandalia, MO 63382-2908

Registry dates

Enumerated: 2019-10-09
Last updated: 2019-10-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.