Organization
VALLE VISTA LLC
Active
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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