Healthcare Provider Details

I. General information

NPI: 1285403899
Provider Name (Legal Business Name): VALLEY NURSING HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2023
Last Update Date: 12/22/2023
Certification Date: 12/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

581 NC HIGHWAY 16 S
TAYLORSVILLE NC
28681-9103
US

IV. Provider business mailing address

338 WHITESVILLE RD STE 503
JACKSON NJ
08527-5037
US

V. Phone/Fax

Practice location:
  • Phone: 828-632-8146
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JACOB STERN
Title or Position: MANAGER
Credential:
Phone: 732-659-1353