Organization
SHANNON COUNTY HEALTH CENTER
Active
Other names
Shannon County Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KANDRA COUNTS (ADMINISTRATOR)
(573) 226-3914
Entity
Organization
Contact information
Practice address
18018 GREY JONES DRIVE, EMINENCE, MO 65466-0788
(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
251E00000X
Home Health Agency
Primary
69-21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30101
BC/BS - HOME HEALTH
MO
05
—
580563401
—
MO
Enumeration date
12/06/2005
Last updated
09/10/2018
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