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Organization

SHANNON'S NEIGHBORHOOD MAINSTREET STATION

Active
Parent organization
SHANNONS NEIGHBORHOOD MAIN STREET STATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHANNONS NEIGHBORHOOD MAIN STREET STATION
Authorized official
MS. VICKI SUE ZAHNER ADULT DAY HEALTH CAR (DIRECTOR)
(573) 768-5339
Entity
Organization

Contact information

Practice address
35 SHANNON LN, PERRYVILLE, MO 63775-8169
(573) 547-4226
(573) 547-4226
Mailing address
10 SHANNON LN, PERRYVILLE, MO 63775-8169
(573) 547-4226
(573) 547-4226

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
08/24/2007
Last updated
08/24/2007
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