Organization
CEDAR VALLEY RANCH
Active
Organization
CEDAR VALLEY RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM D NELSON LICENSED NUSRING HOM (ADMINISTRATOR)
(319) 472-2671
Entity
Organization
Contact information
Practice address
2591 61ST STREET LANE, VINTON, IA 52349
(319) 472-2671
(319) 472-5068
Mailing address
2591 61ST STREET LANE, VINTON, IA 52349
(319) 472-2671
(319) 472-5068
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
060691
IA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
060691
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252072
ARO
IA
05
—
0895581
—
IA
Enumeration date
08/04/2006
Last updated
09/11/2025
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