Organization
SHELA L. MEYERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELA MEYERS (OWNER)
(636) 933-0662
Entity
Organization
Contact information
Practice address
204 GRAND AVE, FESTUS, MO 63028-1842
(636) 933-0662
Mailing address
204 GRAND AVE, FESTUS, MO 63028-1842
(636) 933-0662
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
032503
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265189308
—
MO
Enumeration date
11/04/2007
Last updated
06/24/2008
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