VILLAGE ASSISTED LIVING INC. NPI 1447482989

NPI Information

VILLAGE ASSISTED LIVING, INC. is an assisted living facility in Des Moines, IA. The provider is 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. VILLAGE ASSISTED LIVING, INC. NPI is 1447482989. The provider is registered as an organization entity type.

The provider's business location address is:

2571 GUTHRIE AVE
DES MOINES, IA
ZIP 50317-019
Phone: (515) 265-2571
Fax: (515) 265-3044

The provider's authorized official is Paul Mickelson .
The authorized official title is Corporate Ar Manager and has the following contact phone number (952) 259-4485.

The CLIA number assigned to this NPI record is 16D1105257 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2009 and was last updated on 8/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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