Organization
VALLEY HEALTH ENTERPRISES, INC.
Active
Parent organization
VALLEY HEALTH ENTERPRISES
Other names
Family Home Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALLEY HEALTH ENTERPRISES
Authorized official
MR. STEPHEN M DAVIS (CHIEF FINANCIAL OFFICER)
(815) 223-3300
Entity
Organization
Contact information
Practice address
1319 4TH ST, PERU, IL 61354-3630
(815) 220-1682
(815) 220-1685
Mailing address
1319 4TH ST, PERU, IL 61354-3630
(815) 220-1682
(815) 220-1685
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000246
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05019559
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/21/2005
Last updated
05/04/2012
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