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General NPI Number Information
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NPI Number | 1457620973
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Entity Type | Organization
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Legal Business Name | SPRINGS VALLEY ASSISTED LIVING, INC.
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Dates
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Enumeration Date | 12/29/2011
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 6650 W FLAMINGO RD
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City | LAS VEGAS
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State | NV
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Zip | 89103-2142
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Country | US
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Telephone | 702-732-2800
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Fax | 702-873-5316
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Provider Business Mailing Address
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Address Line | 6650 W FLAMINGO RD
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City | LAS VEGAS
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State | NV
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Zip | 89103-2142
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Country | US
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Telephone | 702-732-2800
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Fax | 702-873-5316
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Authorized Official
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Title or Position | SECRETARY
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Name | AMBER L TUELLER
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Credential |
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Telephone | 208-207-2726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 410AGC-32
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License Number State | NV
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