Organization
SHENANDOAH ENTERPRISES LLC
Active
Other names
FAIR OAKS CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH P DEWITT (CFO)
(605) 217-6000
Entity
Organization
Contact information
Practice address
1201 S WALNUT ST, SHENANDOAH, IA 51601-2176
(712) 246-2055
(712) 246-2099
Mailing address
1201 S WALNUT ST, SHENANDOAH, IA 51601-2176
(712) 246-2055
(712) 246-2099
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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