Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Wilson

Individual provider Assisted Living Facility · NPI 1326994559

Shannon Wilson is an Assisted Living Facility in Saint Charles, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2026
Specialties on file
2

Practice location Address checks out

32 Portwest Ct
Saint Charles, MO 63303-5985
Phone: (636) 410-8292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Day Care Clinic/Center (primary) Taxonomy 261QA0600X · Licence 2087 (MO)
Assisted Living Facility Taxonomy 310400000X · Licence 2087 (MO)

Record details

NPI number1326994559
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1617 Grape Ave, Saint Louis, MO 63147-1405

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