# SHENANDOAH IOWA ASSISTE LIVING FACILITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Windsor Manor Shenandoah
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083041206
- **Authorized official:** ELIZABETH ANN MARIE MCCALLA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (712) 246-2194

## Contact information

- **Practice address:** 601 HARRISON ST, SHENANDOAH, IA 51601-2019
- **Practice address phone:** (712) 246-2194
- **Practice address fax:** (712) 246-6182
- **Mailing address:** 601 HARRISON ST, SHENANDOAH, IA 51601-2019
- **Mailing address phone:** (712) 246-2194
- **Mailing address fax:** (712) 246-6182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | S0328 | IA | Yes |

## Other

- **Enumeration date:** 10/02/2013
- **Last updated:** 10/02/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | S0328 | ASSISTED LIVING PROGRAM CERTIFICATE - DEPARTMENT OF INSPECTIONS AND APPEALS | IA |