Organization
SUNSHINE MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARO SHIRSHEKAN (MANAGING MEMBER)
(573) 701-0600
Entity
Organization
Contact information
Practice address
894 LELAND AVE, UNIVERSITY CITY, MO 63130-3239
(314) 726-4767
(314) 726-1308
Mailing address
894 LELAND AVE, UNIVERSITY CITY, MO 63130-3239
(314) 726-4767
(314) 726-1308
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
037234
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101485308
—
MO
Enumeration date
09/30/2005
Last updated
03/16/2010
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