NPI: 1760457683
Provider Name: SHALIMAR CORP. D/B/A PARKWOOD MANOR
Doing Business As: PARKWOOD MANOR
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
CLIA Number: 26D2130066
Address:
325 N SPRIGG ST
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 334-7011
Get Directions
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 CLIA number assigned to this NPI record is 26D2130066 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/22/2006 and was last updated on 8/22/2020.