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NPI Code Detail

MEDICARE: SHEILA STACY LNHA

MEDICARE: SHEILA STACY LNHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376G00000XNursing Home Administrator5956MO

General Provider Information

NPI Number : 1578959474
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA STACY LNHA
Provider Business Mailing Address
First Line : 1180 OLD JACKSON RD
Second Line :
City : FARMINGTON
State : MO
Zip : 63640-3428
Country : US
Telephone Number : 573-760-1700
Fax Number : 573-760-1224
Provider Business Practice Location Address
First Line : 1180 OLD JACKSON RD
Second Line :
City : FARMINGTON
State : MO
Zip : 63640-3428
Country : US
Telephone Number : 573-760-1700
Fax Number : 573-760-1224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2015
Last Update Date : 04/08/2015

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Directions to “ SHEILA STACY LNHA” Practice Location

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