Organization
WAUKON IA SKILLED NURSING FACILITY, LLC
Active
Other names
Southcrest Manor Operator
Organization subpart
No
Provider details
NPI number
Authorized official
MENACHEM SHABAT (PRESIDENT)
(847) 679-5331
Entity
Organization
Contact information
Practice address
602 2ND ST SW, WAUKON, IA 52172-2242
(563) 568-4207
Mailing address
602 2ND ST SW, WAUKON, IA 52172-2242
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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