Individual
SHEILA STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LNHA
Contact information
Practice address
1180 OLD JACKSON RD, FARMINGTON, MO 63640-3428
(573) 760-1700
(573) 760-1224
Mailing address
1180 OLD JACKSON RD, FARMINGTON, MO 63640-3428
(573) 760-1700
(573) 760-1224
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
5956
MO
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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