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Organization

FOUNTAINBLEAU OF CAPE GIRARDEAU INC.

Active
Other names
Fountainbleau Lodge
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHAFIQ M MALIK (PRESIDENT)
(573) 335-1999
Entity
Organization

Contact information

Practice address
2001 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2127
(573) 335-1999
Mailing address
2001 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2127
(573) 335-1999

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030982
MO

Other

Enumeration date
10/11/2005
Last updated
08/22/2020
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