OrganizationActive
Apple Valley Assisted Living LLC.
NPI 1508085879 · Point of Service · Clear Lake, IA
Provider details
- NPI number
- 1508085879
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Terri Cosselman, Administrator(641) 357-7083
- License
- S0166 (IA)
Specialties & taxonomies
Managed Care Organizations
Practice location
405 27th Ave S
Clear Lake, IA 50428-4002
Phone: (641) 357-7083
Fax: (641) 357-1512
Approximate (ZIP-level) locationGet directions
Mailing address
405 27th Ave S
Clear Lake, IA 50428-4002
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.