Organization
SHENANDOAH IOWA ASSISTE LIVING FACILITY LLC
Active
Other names
Windsor Manor Shenandoah
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN MARIE MCCALLA (EXECUTIVE DIRECTOR)
(712) 246-2194
Entity
Organization
Contact information
Practice address
601 HARRISON ST, SHENANDOAH, IA 51601-2019
(712) 246-2194
(712) 246-6182
Mailing address
601 HARRISON ST, SHENANDOAH, IA 51601-2019
(712) 246-2194
(712) 246-6182
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
S0328
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S0328
ASSISTED LIVING PROGRAM CERTIFICATE - DEPARTMENT OF INSPECTIONS AND APPEALS
IA
Enumeration date
10/02/2013
Last updated
10/02/2013
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