16D1105257 CLIA NUMBER - VILLAGE ASSISTED LIVING, INC DBA VALLEY VIEW VILLAGE ASSISTED LIVING

Laboratory Demographics

CLIA Number: 16D1105257

Facility Name: VILLAGE ASSISTED LIVING, INC DBA VALLEY VIEW VILLAGE ASSISTED LIVING

Facility Address:
2571 GUTHRIE AVENUE
DES MOINES, IA
ZIP 50317
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Facility Phone Number: 515 265-2571

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1447482989

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	16D1105257
LAB Type	Assisted Living Facility
Facility Name	VILLAGE ASSISTED LIVING, INC DBA VALLEY VIEW VILLAGE ASSISTED LIVING
Street	2571 GUTHRIE AVENUE
City	DES MOINES
State	IA
ZIP	50317
Phone	515 265-2571
CertificateType	4
CertificateEffectiveDate	9/21/2023
CertificateExpirationDate	9/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024