Shanahan Isl

NPI #1518089226 in Greenwood, Missouri

Provider Information

NPI Number: 1518089226
Entity Type: Organization
Organization Name: Shanahan Isl
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2204 GAMBRELL ST
City: Greenwood
State: Missouri
ZIP Code: 64034-9618
Phone: (816) 537-7638

Authorized Official

Name: MRS. DEBRA LOUIS SHANAHAN
Title: PROVIDER
Phone: (816) 537-7638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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