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Shanahan Isl
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greenwood, Missouri
NPI 1518089226

Shanahan Isl is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Greenwood, MO. Shanahan Isl practices in Greenwood, MO. The NPI Number for Shanahan Isl is 1518089226 and holds a License No. (Missouri).

The current practice location address for Shanahan Isl is 2204 Gambrell St, Greenwood, MO and can be reached out via phone at 816-537-7638 and via fax at 816-537-7941.

Location: 2204 Gambrell St, Greenwood, MO, 64034-9618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518089226
Provider Name
Shanahan Isl
Credential
Provider Entity Type
Organization
Address
2204 Gambrell St, Greenwood, MO, 64034-9618
Phone Number
816-537-7638
Fax Number
816-537-7941
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2204 Gambrell St
City
Greenwood
State
Missouri
Zip
64034-9618
Phone Number
816-537-7638
Fax Number
816-537-7941
person
Provider Business Mailing Address Details
Address
2204 Gambrell St
City
Greenwood
State
Missouri
Zip
64034-9618
Phone Number
816-537-7638
Fax Number
816-537-7941
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
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.
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