Shanahan Group Home

NPI #1922152040 in Greenwood, Missouri

Provider Information

NPI Number: 1922152040
Entity Type: Organization
Organization Name: Shanahan Group Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 23, 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: DEBRA LOUISE 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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