NPI 1093105975

Shellsburg Associates

Organisation Custodial Care Facility Shellsburg, IA

Practice location

Address: 401 Canton St NW, Shellsburg, IA 52332-9624
Phone: (319) 436-5570
Fax: (319) 436-5571

Authorised official

Name: Charles Lawrence Thomas
Title: President of the Board
Phone: (605) 760-1610

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 311Z00000X (IA)

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Registry record

NPI: 1093105975
Entity type: Organization
NPI issued: 29 Jan 2015
Record last updated: 29 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.