| NPI | 1285752899 |
|---|---|
| Doing Business As | MALIK CORP. FOUNTAINBLEAU NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | SHAFIQ M MALIK President 573-335-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 032222) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |