Organization
VALLEY VISTA CARE CORPORATION
Active
Other names
Valley Vista Cottage Care, Cottage Care Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
KASEY D WILKS (DIRECTOR OF CORPORATE COMPLIANCE)
(208) 245-4576
Entity
Organization
Contact information
Practice address
820 ELM DR, ST MARIES, ID 83861-2119
(208) 245-4576
(208) 245-2138
Mailing address
820 ELM DR, ST MARIES, ID 83861-2119
(208) 245-4576
(208) 245-2138
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M0026110-005
—
ID
Enumeration date
06/25/2010
Last updated
12/24/2025
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