Organization
SHANNON COUNTY HEALTH CENTER
Active
Other names
Shannon County Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
KANDRA COUNTS (ADMINISTRATOR)
(573) 226-3914
Entity
Organization
Contact information
Practice address
18018 GREY JONES DRIVE, EMINENCE, MO 65466
(573) 226-3914
(573) 226-3240
Mailing address
PO BOX 788, EMINENCE, MO 65466-0788
(573) 226-3914
(573) 226-3240
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280563404
—
MO
Enumeration date
03/06/2007
Last updated
09/10/2018
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