Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANONN BARR

Active Sole Proprietor

Intellectual Disabilities Residential Treatment Facility · JOPLIN, MO

Registration Details

NPI Number: 1104305127
Provider Type: Individual
Gender: Female
NPI Issued: Aug 9, 2018 (7.7003031459033 yrs)
Last Updated: Aug 9, 2018
Sole Proprietor: Yes

Practice Information

Address: 2007 S HARLEM AVE

JOPLIN, MO, 648040336
Browse MO providers · Browse ZIP 64804
Phone: 7086776911
Primary Specialty: Intellectual Disabilities Residential Treatment Facility
320600000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.