Organization
MISSOURI REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAFIQ MALIK (OWNER/PRESIDENT)
(573) 335-3044
Entity
Organization
Contact information
Practice address
10 LAKE DR, BONNE TERRE, MO 63628-1820
(573) 335-3044
(573) 335-6724
Mailing address
2732 BLOOMFIELD RD, CAPE GIRARDEAU, MO 63703-6302
(573) 335-3044
(573) 335-6724
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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