Organization
CAPE RETIREMENT COMMUNITY, INC.
Active
Other names
Chateau Girardeau
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BOELLER (PRESIDENT/CEO)
(573) 651-8186
Entity
Organization
Contact information
Practice address
3120 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5043
(573) 335-1281
(573) 651-8184
Mailing address
3120 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5043
(573) 335-1281
(573) 651-8184
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
031333
MO
314000000X
Skilled Nursing Facility
Primary
031705
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107809105
—
MO
Enumeration date
04/07/2006
Last updated
02/22/2022
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