Fair Oaks Rcf, LLC
NPI #1376818419 in Shenandoah, Iowa
Provider Information
- NPI Number
- 1376818419
- Entity Type
- Organization
- Organization Name
- Fair Oaks Rcf, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IANE PROPERTIES
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Mar 21, 2012
- Last Updated
- Mar 21, 2012
Practice Location
- Address
- 1201 S WALNUT ST
- City
- Shenandoah
- State
- Iowa
- ZIP Code
- 51601-2176
- Phone
- (712) 246-2055
Authorized Official
- Name
- MR. RICHARD T MASON
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (888) 391-2373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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