location
search-icon
person
Mrs. Shanon Elizabeth Paxson
Private Vehicle in Grove, Oklahoma
NPI 1376740019

Shanon Elizabeth Paxson is a Private Vehicle based in Grove, OK. Shanon Elizabeth Paxson practices in Grove, OK. The NPI Number for Shanon Elizabeth Paxson is 1376740019 and holds a License No. 1000670490A (Oklahoma).

The current practice location address for Shanon Elizabeth Paxson is 25322 S 603 Rd, Grove, OK and can be reached out via phone at 918-787-4368.

Location: 25322 S 603 Rd, Grove, OK, 74344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376740019
Provider Name
Shanon Elizabeth Paxson
Credential
Provider Entity Type
Individual
Gender
Female
Address
25322 S 603 Rd, Grove, OK, 74344
Phone Number
918-787-4368
Fax Number
Provider Enumeration Date
06/27/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1000670490C 01 OK OHCA
1000670490A 01 OK OHCA
institution
Provider Business Practice Location Address Details
Address
25322 S 603 Rd
City
Grove
State
Oklahoma
Zip
74344
Phone Number
918-787-4368
Fax Number
person
Provider Business Mailing Address Details
Address
25322 S 603 Rd
City
Grove
State
Oklahoma
Zip
74344
Phone Number
918-787-4368
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
1000670490C (Oklahoma)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
1000670490A (Oklahoma)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.