SHALIMAR CORP NPI 1568541886

NPI Information

  • NPI: 1568541886
  • Provider Name: SHALIMAR CORP
  • Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
  • Entity Type: Organization
  • Doing Business As: PARKWOOD MANOR
  • Address: 2732 BLOOMFIELD RD
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Phone: (573) 335-3044

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NPI Details

SHALIMAR CORP is a residential treatment facility physical disabilities in Cape Girardeau, MO. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. SHALIMAR CORP NPI is 1568541886. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkwood Manor.

The provider's business location address is:

2732 BLOOMFIELD RD
CAPE GIRARDEAU, MO
ZIP 63703-302
Phone: (573) 335-3044

The provider's authorized official is Gale Lacy .
The authorized official title is Office Manager and has the following contact phone number (573) 335-3044.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320700000XResidential Treatment Facility, Physical Disabilities031626MISSOURIYes
2320800000XCommunity Based Residential Treatment Facility, Mental Illness031626MISSOURIX

What is NPI?

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This page was last updated on: 3/30/2025

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