Organization
SHALIMAR CORP
Active
Other names
PARKWOOD MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
GALE LACY (OFFICE MANAGER)
(573) 335-3044
Entity
Organization
Contact information
Practice address
2732 BLOOMFIELD RD, CAPE GIRARDEAU, MO 63703-6302
(573) 335-3044
Mailing address
2732 BLOOMFIELD RD, CAPE GIRARDEAU, MO 63703-6302
(573) 335-3044
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
031626
MO
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
031626
MO
Other
Enumeration date
11/06/2006
Last updated
09/11/2025
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