Organization · Type 2 NPI
Shannon's Neighborhood Mainstreet Station
Adult Day Care Clinic/Center · Perryville, MO
NPI number
1467645119
Active
Practice location
35 Shannon Ln
Perryville, MO 63775-8169
Fax (573) 547-4226
Mailing address
10 Shannon Ln
Perryville, MO 63775-8169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1467645119
Shannon's Neighborhood Mainstreet Station's National Provider Identifier is 1467645119, issued on Aug 24, 2007. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Perryville, MO. The record was last updated on Aug 24, 2007.