SHALIMAR CORP. D/B/A PARKWOOD MANOR NPI 1760457683

NPI Information

  • NPI: 1760457683
  • Provider Name: SHALIMAR CORP. D/B/A PARKWOOD MANOR
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Doing Business As: PARKWOOD MANOR
  • Address: 325 N SPRIGG ST
    CAPE GIRARDEAU, MO
    ZIP 63701
  • Phone: (573) 334-7011

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NPI Details

SHALIMAR CORP. D/B/A PARKWOOD MANOR is an assisted living and mental illness assisted living facility in Cape Girardeau, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. SHALIMAR CORP. D/B/A PARKWOOD MANOR NPI is 1760457683. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkwood Manor.

The provider's business location address is:

325 N SPRIGG ST
CAPE GIRARDEAU, MO
ZIP 63701-531
Phone: (573) 334-7011
Fax: (573) 334-7011

The provider's authorized official is Gale A 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 2/22/2006 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
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness371-7545MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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