Organization
NISHNA PRODUCTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI L CLARK (EXECUTIVE DIRECTOR)
(712) 623-4362
Entity
Organization
Contact information
Practice address
902 DAY ST, SHENANDOAH, IA 51601-1106
(712) 246-1242
(712) 246-1243
Mailing address
902 DAY ST, PO BOX 70, SHENANDOAH, IA 51601-1106
(712) 246-1242
(712) 246-1243
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0893255
—
IA
Enumeration date
11/01/2006
Last updated
05/12/2008
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