NPI 1184292039

Maple Crest Manor LLC

Organisation Assisted Living Facility (Mental Illness) Cape Girardeau, MO

Practice location

Address: 430 N Frederick St, Cape Girardeau, MO 63701-4835
Phone: (573) 339-7606
Mailing address: PO Box 1570, Cape Girardeau, MO 63702-1570

Authorised official

Name: Kevin Wood
Title: Owner
Phone: (573) 576-3029

Registered specialties (2)

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X

Other Assisted Living Facility providers in Missouri →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

Registry record

NPI: 1184292039
Entity type: Organization
NPI issued: 16 Jun 2021
Record last updated: 17 Jun 2021

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.