| NPI | 1689752297 |
|---|---|
| Doing Business As | SHADY REST CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | GERALD J VOLK President 563-852-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA I-255) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: IA 310255) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-12-21 |