Healthcare Provider Details

I. General information

NPI: 1407313349
Provider Name (Legal Business Name): ARBOR SPRINGS OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 02/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7951 EP TRUE PKWY
WEST DES MOINES IA
50266-8107
US

IV. Provider business mailing address

PO BOX 10159
MARINA DEL REY CA
90295-6159
US

V. Phone/Fax

Practice location:
  • Phone: 515-223-1135
  • Fax:
Mailing address:
  • Phone: 714-401-9960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KENNETH DAO
Title or Position: VICE PRESIDENT
Credential:
Phone: 714-401-9960