Organization
SHAMROCK SERVICES GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LALLIA SHANKS (PRESIDENT)
(618) 927-0290
Entity
Organization
Contact information
Practice address
13023 N SHILOH DR, MOUNT VERNON, IL 62864-7391
(618) 244-7701
(618) 244-7704
Mailing address
PO BOX 814, MOUNT VERNON, IL 62864-0017
(618) 927-0290
(618) 244-7704
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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