# SHENANDOAH ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAIR OAKS CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346434826
- **Authorized official:** MR. JOSEPH P DEWITT (CFO)
- **Authorized official phone:** (605) 217-6000

## Contact information

- **Practice address:** 1201 S WALNUT ST, SHENANDOAH, IA 51601-2176
- **Practice address phone:** (712) 246-2055
- **Practice address fax:** (712) 246-2099
- **Mailing address:** 1201 S WALNUT ST, SHENANDOAH, IA 51601-2176
- **Mailing address phone:** (712) 246-2055
- **Mailing address fax:** (712) 246-2099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2007
- **Last updated:** 08/28/2007