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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