Country Gardens, Inc

NPI 1063540706 - Assisted Living Facility - 310400000X

NPI Details
NPI 1063540706
Enumeration Date 03/02/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TOMI TOMI
Position PRESIDENT
Phone (573) 334-7679
Fax (573) 334-8145
Practice Location
210 FRANKS LN
CAPE GIRARDEAU MO, 63701-8439, US
Phone (573) 334-7679
Fax (573) 334-8145
Business Location
210 FRANKS LN
CAPE GIRARDEAU MO, 63701-8439, US
Phone (573) 334-7679
Fax (573) 334-8145
Toxanomy
Taxonomy Code 310400000X
License State Missouri
License Number 031521
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According to our database, Country Gardens, Inc NPI is 1063540706, taxonomy code is 310400000X and license number is 031521, license state is located at Missouri. Country Gardens, Inc physically located at 210 Franks Ln, Cape Girardeau MO, 63701-8439. NPI Number 1033115704 has the healthcare provider type.

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1063540706 NPI number is provided on an as is basis without warranty of any kind. 1063540706 is maintained by the National Plan & Provider Enumeration System. The contents of Country Gardens, Inc are for informational purposes only.