Organization
SHADY REST, INC.
Active
Other names
Shady Rest Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD J VOLK (PRESIDENT)
(563) 852-3277
Entity
Organization
Contact information
Practice address
701 JOHNSON ST NW, CASCADE, IA 52033-7747
(563) 852-3277
(563) 852-7205
Mailing address
701 JOHNSON ST NW, CASCADE, IA 52033-7747
(563) 852-3277
(563) 852-7205
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
310255
IA
314000000X
Skilled Nursing Facility
Primary
I-255
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803627
—
IA
Enumeration date
11/01/2006
Last updated
12/21/2011
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