NPI 1245387299

Mallard View INC

Organisation Assisted Living Facility (Mental Illness) Carroll, IA

Practice location

Address: 17504 Mahogany Ave, Carroll, IA 51401-8870
Phone: (712) 792-3785

Authorised official

Name: Stacey Peter
Title: Administrator
Phone: (712) 792-3785

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence 001 (IA)

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Registry record

NPI: 1245387299
Entity type: Organization
NPI issued: 4 Jan 2007
Record last updated: 21 Jul 2022

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.