Organization
VALLEY REGIONAL ENTERPRISES INC
Active
Parent organization
VALLEY REGIONAL ENTERPRISES
Other names
Valley Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALLEY REGIONAL ENTERPRISES
Authorized official
MR. DAVID E WISEMAN (DIVISION CONTROLLER)
(540) 536-4310
Entity
Organization
Contact information
Practice address
480 EAST SOUTH COMMERCE AVE, FRONT ROYAL, VA 22630-3093
(540) 635-7444
(540) 635-7787
Mailing address
PO BOX 1910, WINCHESTER, VA 22604-8060
(540) 536-4310
(540) 536-2396
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0206008342
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144683002
—
WV
01
—
076082
BC/BS
—
05
—
9133887
—
VA
Enumeration date
04/29/2009
Last updated
04/21/2010
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