Organization
VALLE VISTA LLC
Active
Other names
Valle Vista Health System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN DAVID BELL (CEO)
(317) 887-1348
Entity
Organization
Contact information
Practice address
898 E MAIN ST, GREENWOOD, IN 46143-1407
(317) 887-1348
(317) 885-9063
Mailing address
898 E MAIN ST, GREENWOOD, IN 46143-1407
(317) 887-1348
(317) 885-9063
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
3071PIP
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200376070A
—
IN
Enumeration date
06/13/2008
Last updated
06/13/2008
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