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Organization

VALLEY VISTA SENIOR MEALS

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) 245-2139
Mailing address
820 ELM DR, ST MARIES, ID 83861-2119
(208) 245-4576
(208) 245-2138

Taxonomy

Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
M0026110-003
ID
Enumeration date
06/25/2010
Last updated
06/25/2010
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