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General NPI Number Information
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NPI Number | 1053309625
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Entity Type | Organization
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Legal Business Name | VALLEY VIEW HEALTHCARE
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 700 S OSTROM AVE
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City | EASTLAND
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State | TX
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Zip | 76448-3226
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Country | US
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Telephone | 254-629-1779
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Fax | 254-629-0943
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Provider Business Mailing Address
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Address Line | 700 S OSTROM AVE
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City | EASTLAND
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State | TX
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Zip | 76448-3226
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RON HATTON
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Credential |
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Telephone | 254-629-1779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 110151
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License Number State | TX
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