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Organization
NISHNA PRODUCTIONS, INC.
Active
Organization
NISHNA PRODUCTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A BRUNK (DIRECTOR OF FINANCE)
(712) 246-1242
Entity
Organization
Contact information
Practice address
304 W VALLEY AVE, SHENANDOAH, IA 51601-1218
(712) 246-5340
Mailing address
PO BOX 70, SHENANDOAH, IA 51601-0070
(712) 246-1242
(712) 246-1243
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
730191
IA
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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