Organization
HEALTH CARE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARO SHIRSHEKAN IV (MANAGING MEMBER)
(573) 701-0600
Entity
Organization
Contact information
Practice address
765 WEBER RD, FARMINGTON, MO 63640-3318
(573) 701-0600
(573) 701-0601
Mailing address
765 WEBER RD, FARMINGTON, MO 63640-3318
(573) 701-0600
(573) 701-0601
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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