Organization
COUNTRYSIDE VILLAGE ASSISTED LIVING FACILITY, LLC
Active
Organization
COUNTRYSIDE VILLAGE ASSISTED LIVING FACILITY, LLC
Active
Other names
Countryside Village Assisted Living Facility, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L HENSLEY (OWNER)
(660) 535-2011
Entity
Organization
Contact information
Practice address
300 W FAIRVIEW ST, KING CITY, MO 64463-9606
(660) 535-2011
Mailing address
300 W FAIRVIEW ST, KING CITY, MO 64463-9606
(660) 535-2011
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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