Organization
VILLAGE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ELLIOTT (OWNER)
(319) 795-8800
Entity
Organization
Contact information
Practice address
3000 W MADISON AVE, FAIRFIELD, IA 52556-4205
(641) 469-5778
(641) 469-4529
Mailing address
3000 W MADISON AVE, FAIRFIELD, IA 52556-4205
(641) 469-5778
(641) 469-4529
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0170
IA
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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