| NPI | 1831216589 |
|---|---|
| Doing Business As | FOUNTAINBLEAU LODGE |
| Entity Type | Organization |
| Authorized Contact | SHAFIQ M MALIK Administrator 573-335-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 032007) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |