Organization
SHANNONS COMMUNITY HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY SHANNON (DOO)
(614) 937-5439
Entity
Organization
Contact information
Practice address
4759 VIOLET RD, TOLEDO, OH 43623-4315
(614) 937-5439
Mailing address
4759 VIOLET RD, TOLEDO, OH 43623-4315
(614) 937-5439
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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