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
100 E OAK ST, RED OAK, IA 51566-1544
(712) 623-9767
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
690223
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0894790
—
IA
Enumeration date
05/06/2008
Last updated
05/07/2008
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