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 (ADMINISTRATOR)
(573) 335-1999
Entity
Organization
Contact information
Practice address
2001 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2127
(573) 335-1999
(573) 335-1997
Mailing address
2001 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2127
(573) 335-1999
(573) 335-1997
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
032007
MO
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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