Organization
SHALIMAR CORP. D/B/A PARKWOOD MANOR
Active
Other names
PARKWOOD MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GALE A LACY (OFFICE MANAGER)
(573) 335-3044
Entity
Organization
Contact information
Practice address
325 N SPRIGG ST, CAPE GIRARDEAU, MO 63701-5531
(573) 334-7011
(573) 334-7011
Mailing address
2732 BLOOMFIELD RD, CAPE GIRARDEAU, MO 63703-6302
(573) 335-3044
(573) 335-6724
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
371-7545
MO
Other
Enumeration date
02/22/2006
Last updated
08/22/2020
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