| NPI | 1033328455 |
|---|---|
| Doing Business As | SHANNON'S NEIGHBORHOOD DBA CORA LANE |
| Entity Type | Organization |
| Authorized Contact | CAROL A WORD Accountant 573-547-4475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |