| NPI | 1942355193 |
|---|---|
| Other Name | SHANNON'S NEIGHBORHOOD |
| Entity Type | Organization |
| Authorized Contact | BARBRA NORTON Administrator 573-547-5254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |