Organization
SHINN RESIDENTIAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY SHINN (PRESIDENT)
(573) 406-1523
Entity
Organization
Contact information
Practice address
805 PARIS AVE, SHINN RESIDENTIAL CENTER III, HANNIBAL, MO 63401-3223
(573) 221-3764
(573) 221-6225
Mailing address
817 PARIS AVE, HANNIBAL, MO 63401-3223
(573) 406-1523
(573) 248-1091
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2462-9303
MO
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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