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Organization
FAIR OAKS RCF, LLC
Active
Organization
FAIR OAKS RCF, LLC
Active
Parent organization
IANE PROPERTIES
Other names
Fair Oaks Care Centre
Organization subpart
Yes
Provider details
NPI number
Legal business name
IANE PROPERTIES
Authorized official
MR. RICHARD T MASON (AUTHORIZED REPRESENTATIVE)
(888) 391-2373
Entity
Organization
Contact information
Practice address
1201 S WALNUT ST, SHENANDOAH, IA 51601-2176
(712) 246-2055
(712) 246-2099
Mailing address
1201 S WALNUT ST, SHENANDOAH, IA 51601-2176
(712) 246-2055
(712) 246-2099
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
730994
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346434826
—
IA
Enumeration date
03/21/2012
Last updated
03/21/2012
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