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Frederick Street Manor LLC — NPI 1518535285, Cape Girardeau, MO | NPI Central

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NPI 1518535285

OrganizationActive

Frederick Street Manor LLC

NPI 1518535285 · Assisted Living Facility (Mental Illness) · Cape Girardeau, MO

Provider details

NPI number: 1518535285
Entity type: Organization
Primary specialty: Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Kevin Wood, Owner(573) 576-3029

Specialties & taxonomies

Assisted Living Facility (Mental Illness)Primary3104A0625X
Nursing & Custodial Care Facilities
Assisted Living Facility310400000X
Nursing & Custodial Care Facilities

Practice location

429 N Frederick St

Cape Girardeau, MO 63701-4834

Phone: (573) 334-0916

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

Po Box 1570

Cape Girardeau, MO 63702-1570

Other names (DBA / former)

Doing business as: Frederick Street Manor

Registry dates

Enumerated: 2021-06-17
Last updated: 2021-06-17
Certified: 2021-06-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.