Organization
BLEAURIDGE NURSING AND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAFIQ MALIK (PRESIDENT)
(573) 335-3044
Entity
Organization
Contact information
Practice address
1003 S CEDAR ST, BELTON, MO 64012-4403
(816) 331-0781
Mailing address
2215 BROADWAY ST, CAPE GIRARDEAU, MO 63701-4403
(573) 335-3044
(573) 335-6724
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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