Organization
APPLE VALLEY ASSISTED LIVING LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI ANN COSSELMAN R.N. (ADMINISTRATOR)
(641) 357-7083
Entity
Organization
Contact information
Practice address
405 27TH AVE S, CLEAR LAKE, IA 50428-4002
(641) 357-7083
(641) 357-1512
Mailing address
405 27TH AVE S, CLEAR LAKE, IA 50428-4002
(641) 357-7083
(641) 357-1512
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
S0166
IA
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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