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Contact Information

SHIRLEES RETIREMENT HOME
1302 E 2ND AVE
INDIANOLA, IA50125-2804
 Phone: 515-961-6673
 Fax: 515-961-2737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for SHIRLEES RETIREMENT HOME

NPI Number 1811175888
LBN Legal business name SHIRLEES RETIREMENT HOME
Authorized official SHIRLEY BAKER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2008
Last updated 02/01/2008 - About 18 years ago
Identifiers
IA License # R-597
IA Medicaid 0891481
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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