# VALLEY VISTA SENIOR MEALS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VALLEY VISTA CARE CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720399538
- **Legal business name:** VALLEY VISTA CARE CORPORATION
- **Authorized official:** KASEY BORGMAN (CORPORATE COMPLIANCE)
- **Authorized official phone:** (208) 245-4576

## Contact information

- **Practice address:** 820 ELM DR, ST MARIES, ID 83861-2119
- **Practice address phone:** (208) 245-4576
- **Practice address fax:** (208) 245-2139
- **Mailing address:** 820 ELM DR, ST MARIES, ID 83861-2119
- **Mailing address phone:** (208) 245-4576
- **Mailing address fax:** (208) 245-2138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332U00000X | Home Delivered Meals | — | NULL | Yes |

## Other

- **Enumeration date:** 06/25/2010
- **Last updated:** 06/25/2010
