Organization
SHANNON'S NEIGHBORHOOD MAINSTREET INC.
Active
Other names
MainStreet Station
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI S ZAHNER (ADMINISTRATOR)
(573) 547-4226
Entity
Organization
Contact information
Practice address
35 SHANNON LANE, PERRYVILLE, MO 63775
(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
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
665
MO
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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