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Contact Information

APPLE VALLEY ASSISTED LIVING LLC.
405 27TH AVE S
CLEAR LAKE, IA50428-4002
 Phone: 641-357-7083
 Fax: 641-357-1512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for APPLE VALLEY ASSISTED LIVING LLC.

NPI Number 1508085879
LBN Legal business name APPLE VALLEY ASSISTED LIVING LLC.
Authorized official TERRI COSSELMAN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IA License # S0166
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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