Organization
COUNTRY LIVING CARE HOMES LLC
Active
Organization
COUNTRY LIVING CARE HOMES LLC
Active
Other names
Country Living Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH WALTER GOLDEN (OWNER/MANAGEMENT)
(417) 926-1955
Entity
Organization
Contact information
Practice address
2820 N MAIN AVE, MOUNTAIN GROVE, MO 65711-1403
(417) 926-1955
(417) 926-1951
Mailing address
PO BOX 649, MOUNTAIN GROVE, MO 65711-0649
(417) 926-1955
(417) 926-1951
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
039387
MO
Other
Enumeration date
07/23/2011
Last updated
08/29/2011
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