Healthcare Provider Details

I. General information

NPI: 1649393489
Provider Name (Legal Business Name): VALLEY OPPORTUNITY COUNCIL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
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 3RD FLOOR
HOLYOKE MA
01040-6520
US

V. Phone/Fax

Practice location:
  • Phone: 413-612-0212
  • Fax: 413-612-0217
Mailing address:
  • Phone: 413-552-1554
  • Fax: 413-552-1558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN HUNTLEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 413-552-1554