Healthcare Provider Details
I. General information
NPI: 1265414957
Provider Name (Legal Business Name): VALLEY OPPORTUNITY COUNCIL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/17/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
152 CENTER ST
CHICOPEE MA
01013-1611
US
IV. Provider business mailing address
300 HIGH ST
HOLYOKE MA
01040-6520
US
V. Phone/Fax
- Phone: 413-612-0212
- Fax: 413-612-0217
- Phone: 413-552-1554
- Fax: 413-552-1558
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
STEPHEN
C.
HUNTLEY
Title or Position: FISCAL DIRECTOR
Credential:
Phone: 413-552-1554