Opco Shenandoah, Ia, LLC
NPI #1912736653 in Shenandoah, Iowa
Provider Information
- NPI Number
- 1912736653
- Entity Type
- Organization
- Organization Name
- Opco Shenandoah, Ia, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 31, 2024
- Last Updated
- Oct 29, 2024
Practice Location
- Address
- 1200 W NISHNA RD
- City
- Shenandoah
- State
- Iowa
- ZIP Code
- 51601-2116
- Phone
- (319) 277-2437
Authorized Official
- Name
- ISAAC DOLE
- Title
- MANAGER OF THE LLC
- Phone
- (773) 645-9246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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