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
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102376
—
IA
05
—
0232306
—
IA
05
—
0741819
—
IA
05
—
2232306
—
IA
05
—
3232306
—
IA
Enumeration date
10/03/2006
Last updated
09/10/2007
Update your record
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