# FAIR OAKS RCF, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IANE PROPERTIES
- **Other names:** Fair Oaks Care Centre
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376818419
- **Legal business name:** IANE PROPERTIES
- **Authorized official:** MR. RICHARD T MASON (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (888) 391-2373

## 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 | 730994 | IA | Yes |

## Other

- **Enumeration date:** 03/21/2012
- **Last updated:** 03/21/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1346434826 | — | IA |
