Organization
MALIK ST LOUIS LLC
Active
Other names
ST LOUIS ALTENHEIM
Organization subpart
No
Provider details
NPI number
Authorized official
SHAFIQ MALIK (PRESIDENT)
(573) 335-3044
Entity
Organization
Contact information
Practice address
5408 S BROADWAY ST, ST LOUIS, MO 63111-2023
(314) 353-7225
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
12/28/2023
Last updated
12/28/2023
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