Organization
SHIRLEES RETIREMENT HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEE UDENE BAKER (PRESIDENT)
(515) 961-6673
Entity
Organization
Contact information
Practice address
1302 E 2ND AVE, INDIANOLA, IA 50125-2804
(515) 961-6673
Mailing address
1302 E 2ND AVE, INDIANOLA, IA 50125-2804
(515) 961-6673
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
910597
IA
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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