Organization
VALLEY VISTA APARTMENTS
Active
Parent organization
VALLEY VISTA CARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALLEY VISTA CARE CORPORATION
Authorized official
KASEY BORGMAN (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
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M0026110-004
—
ID
Enumeration date
06/25/2010
Last updated
06/25/2010
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