Organization
GLENDALE ASSISTED LIVING
Active
Organization
GLENDALE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA A COMPTON (ADMINISTRATORS)
(573) 334-2662
Entity
Organization
Contact information
Practice address
429 N FREDERICK ST, CAPE GIRARDEAU, MO 63701-4834
(573) 334-2662
Mailing address
429 N FREDERICK ST, CAPE GIRARDEAU, MO 63701-4834
(573) 334-2662
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
033782
MO
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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