Healthcare Provider Details

I. General information

NPI: 1285744474
Provider Name (Legal Business Name): VALLEY VIEW HAVEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 MALTA DRIVE
GRANVILLE PA
17029
US

IV. Provider business mailing address

105 MALTA DRIVE
GRANVILLE PA
17029
US

V. Phone/Fax

Practice location:
  • Phone: 717-248-3988
  • Fax: 171-248-2780
Mailing address:
  • Phone: 717-248-3988
  • Fax: 171-248-2780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number130302
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number343430
License Number StatePA

VIII. Authorized Official

Name: MR. KENT DEVERELL PEACHEY
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 717-935-2105