Healthcare Provider Details

I. General information

NPI: 1013533710
Provider Name (Legal Business Name): VALLEY VIEW INVESTORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2020
Last Update Date: 06/18/2020
Certification Date: 06/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 VALLEY VIEW DR
JOHN DAY OR
97845-1286
US

IV. Provider business mailing address

205 SE WILSON AVE STE 1
BEND OR
97702-1799
US

V. Phone/Fax

Practice location:
  • Phone: 541-575-3533
  • Fax: 541-575-5558
Mailing address:
  • Phone: 541-389-8929
  • Fax: 541-312-0077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: KEVIN DALE COX
Title or Position: MEMBER
Credential:
Phone: 541-389-8929