# SHIRLEES RETIREMENT HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497921464
- **Authorized official:** MS. SHIRLEY UDENE BAKER (ADMINISTRATOR)
- **Authorized official phone:** (515) 961-6673

## Contact information

- **Practice address:** 1302 E 2ND AVE, INDIANOLA, IA 50125-2804
- **Practice address phone:** (515) 961-6673
- **Practice address fax:** (515) 961-2737
- **Mailing address:** 1302 E 2ND AVE, INDIANOLA, IA 50125-2804
- **Mailing address phone:** (515) 961-6673
- **Mailing address fax:** (515) 961-2737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 251J00000X | IA | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 04/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0891481 | — | IA |