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SHADY REST, INC.

Alzheimer Center

Cascade, Iowa

Provider NPI: 1689752297

Organization Information:
Organization Name:  SHADY REST, INC.


Practice Location:
701 JOHNSON ST NW  CASCADE, IA 52033 US
Tel: 563-852-3277  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
IA310255
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
IAI-255

Other Provider Identifiers:

IssuerNumberStateType
0803627IA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS IA - Page 1



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