Country Aire Estates LLC

NPI #1326113077 in Hannibal, Missouri

Provider Information

NPI Number: 1326113077
Entity Type: Organization
Organization Name: Country Aire Estates LLC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Nov 21, 2006
Last Updated: Feb 3, 2015

Practice Location

Address: 49303 RENSSELAER LN
City: Hannibal
State: Missouri
ZIP Code: 63401-7356
Phone: (573) 221-5400

Authorized Official

Name: MRS. GEORGIA MAY NOLAND
Title: OWNER
Phone: (573) 221-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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