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Organization
SHENANDOAH IOWA ASSISTE LIVING FACILITY LLC
Active
Organization
SHENANDOAH IOWA ASSISTE LIVING FACILITY LLC
Active
Other names
Windsor Manor Shenandoah
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN MARIE MCCALLA (EXECUTIVE DIRECTOR)
(712) 246-2194
Entity
Organization
Contact information
Practice address
601 HARRISON ST, SHENANDOAH, IA 51601-2019
(712) 246-2194
(712) 246-6182
Mailing address
601 HARRISON ST, SHENANDOAH, IA 51601-2019
(712) 246-2194
(712) 246-6182
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
S0328
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S0328
ASSISTED LIVING PROGRAM CERTIFICATE - DEPARTMENT OF INSPECTIONS AND APPEALS
IA
Enumeration date
10/02/2013
Last updated
10/02/2013
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