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Organization

FAIR OAKS RCF, LLC

Active
Parent organization
IANE PROPERTIES
Other names
Fair Oaks Care Centre
Organization subpart
Yes

Provider details

NPI number
Legal business name
IANE PROPERTIES
Authorized official
MR. RICHARD T MASON (AUTHORIZED REPRESENTATIVE)
(888) 391-2373
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
730994
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346434826
IA
Enumeration date
03/21/2012
Last updated
03/21/2012
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