NPI 1114100146

Glendale Assisted Living

Organisation Assisted Living Facility Cape Girardeau, MO

Practice location

Address: 429 N Frederick St, Cape Girardeau, MO 63701-4834
Phone: (573) 334-2662

Authorised official

Name: Teresa a Compton
Title: Administrators
Phone: (573) 334-2662

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 033782 (MO)

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Registry record

NPI: 1114100146
Entity type: Organization
NPI issued: 13 Dec 2007
Record last updated: 13 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.