Organization
LILY OF THE VALLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEOMA AMAIKWU-CLEY (OWNER)
(952) 846-7885
Entity
Organization
Contact information
Practice address
6290 HEDGECROFT AVE S, COTTAGE GROVE, MN 55016-6002
(952) 846-7885
(651) 432-9458
Mailing address
6290 HEDGECROFT AVE S, COTTAGE GROVE, MN 55016-6002
(952) 846-7885
(651) 432-9458
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
01/13/2025
Last updated
04/30/2026
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