Healthcare Provider Details

I. General information

NPI: 1144313925
Provider Name (Legal Business Name): VALLEY ASSOCIATES FOR INDEPENDENT LIVING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3210 PEOPLES DRIVE SUITE 220
HARRISONBURG VA
22801
US

IV. Provider business mailing address

3210 PEOPLES DRIVE SUITE 220
HARRISONBURG VA
22801
US

V. Phone/Fax

Practice location:
  • Phone: 540-433-6513
  • Fax: 540-433-6313
Mailing address:
  • Phone: 540-433-6513
  • Fax: 540-433-6313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MRS. GAYL C. BRUNK
Title or Position: EXECUTIVE DIRECTOR
Credential: BSW
Phone: 540-433-6513