Organization
COUNTRY OAK VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER E HAMBLIN (ADMINISTRATOR)
(816) 224-2700
Entity
Organization
Contact information
Practice address
101 CROSS CREEK DR, GRAIN VALLEY, MO 64029-9561
(816) 224-2700
(816) 224-3335
Mailing address
101 CROSS CREEK DR, GRAIN VALLEY, MO 64029-9561
(816) 224-2700
(816) 224-3335
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
034569
MO
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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