| NPI | 1396742334 |
|---|---|
| Doing Business As | SHANNONDALE OF MARYVILLE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A MALZAHN SVP Reimbursement 773-878-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2024-11-04 |