Shannon Dee Wassam in Smithton - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Shannon Dee Wassam - NPI 1356465033
Shannon Dee Wassam is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Smithton, Missouri. Shannon Dee Wassam practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Shannon Dee Wassam is 1356465033. The last update date is 2014-10-07.
Shannon Dee Wassam's current location address is Po Box 513, Smithton, Missouri. You can contact this provider via phone number 6603433681 and fax number 6603435871. The mailing address for Shannon Dee Wassam is Po Box 513, Smithton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Dee Wassam |
|---|---|
| Address | Po Box 513, Smithton, Missouri |
| Phone Number | 6603433681 |
| Fax Number | 6603435871 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1356465033 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2014-10-07 |
Provider Mailing Address Detail
| Address | Po Box 513 |
|---|---|
| City | Smithton |
| State | Missouri (MO) |
| Post Code | 653500513 |
| Phone Number | 6603433681 |
| Fax Number | 6603435871 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
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Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique 10-digit identifier code issued to Shannon Dee Wassam by the Centers for Medicare & Medicaid Services?
The Shannon Dee Wassam has been assigned the NPI (National Provider Identifier) 1356465033 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Shannon Dee Wassam's facilities are geographically located?
The facilities of Shannon Dee Wassam are physically situated at the following location: Po Box 513, Smithton, MO, 653500513.
What is Shannon Dee Wassam's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shannon Dee Wassam is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356465033 to Shannon Dee Wassam?
The Centers for Medicare & Medicaid Services originally issued the 1356465033 to Shannon Dee Wassam on 2007-03-19.
When was the information regarding Shannon Dee Wassam most recently updated?
The details pertaining to the Shannon Dee Wassam, including its address, specialty, and other relevant information, were last refreshed on 2014-10-07.