Healthcare Provider Details

I. General information

NPI: 1992783856
Provider Name (Legal Business Name): VALLEY VNA HEALTH SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2006
Last Update Date: 11/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 LYON DRIVE
NEENAH WI
54956
US

IV. Provider business mailing address

1535 LYON DRIVE
NEENAH WI
54956
US

V. Phone/Fax

Practice location:
  • Phone: 920-727-5555
  • Fax: 920-727-5552
Mailing address:
  • Phone: 920-727-5555
  • Fax: 920-727-5552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: CAROL VENTURA
Title or Position: PRESIDENT CEO
Credential: PRESIDENT RN
Phone: 920-727-5555