Organization
COUNTRYSIDE CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KAY HOWLETT (OWNER)
(573) 855-9088
Entity
Organization
Contact information
Practice address
385 S EISENHOWER ST, MONETT, MO 65708-8266
(417) 235-4040
(417) 235-3664
Mailing address
PO BOX 434, 385 S. EISENHOWER ST., MONETT, MO 65708-0434
(417) 235-4040
(417) 235-3664
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MO
Other
Enumeration date
05/08/2016
Last updated
05/08/2016
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