NPI 1508085879

Apple Valley Assisted Living LLC.

Organisation Point of Service Clear Lake, IA

Practice location

Address: 405 27th Ave S, Clear Lake, IA 50428-4002
Phone: (641) 357-7083
Fax: (641) 357-1512

Authorised official

Name: Terri Ann Cosselman
Title: Administrator
Phone: (641) 357-7083

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence S0166 (IA)

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Registry record

NPI: 1508085879
Entity type: Organization
NPI issued: 25 Apr 2007
Record last updated: 22 Aug 2020

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.