Organization
COUNTRY GARDENS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMI SAMPLE (PRESIDENT)
(573) 334-7679
Entity
Organization
Contact information
Practice address
210 FRANKS LN, CAPE GIRARDEAU, MO 63701-8439
(573) 334-7679
(573) 334-8145
Mailing address
210 FRANKS LN, CAPE GIRARDEAU, MO 63701-8439
(573) 334-7679
(573) 334-8145
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
031521
MO
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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