NPI Code Details Logo

NPI 1407313349

NPI 1407313349 : ARBOR SPRINGS OPERATIONS, LLC : WEST DES MOINES, IA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407313349
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ARBOR SPRINGS OPERATIONS, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/27/2019
-----------------------------------------------------
    Last Update Date     |    02/27/2019
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7951 EP TRUE PKWY 
-----------------------------------------------------
    City                 |    WEST DES MOINES
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    50266-8107
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    515-223-1135
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 10159 
-----------------------------------------------------
    City                 |    MARINA DEL REY
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90295-6159
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    714-401-9960
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VICE PRESIDENT
-----------------------------------------------------
    Name                 |     KENNETH  DAO 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    714-401-9960
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251J00000X
-----------------------------------------------------
    Taxonomy Name        |    Nursing Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.