NPI 1295100832

Shannon Industries LLC

Organisation Early Intervention Provider Agency Maylene, AL

Practice location

Address: 1028 Grande View Pass, Maylene, AL 35114-4004
Phone: (205) 478-1200

Authorised official

Name: Cedric Shannon
Title: Owner
Phone: (205) 478-1200

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Registry record

NPI: 1295100832
Entity type: Organization
NPI issued: 8 Dec 2015
Record last updated: 8 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.