Organization
SHANNON INDUSTRIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEDRIC SHANNON (OWNER)
(205) 478-1200
Entity
Organization
Contact information
Practice address
1028 GRANDE VIEW PASS, MAYLENE, AL 35114-4004
(205) 478-1200
Mailing address
1028 GRANDE VIEW PASS, MAYLENE, AL 35114-4004
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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