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NPI Code Detail

MEDICARE: VALLEY VIEW HAVEN INC.

MEDICARE: VALLEY VIEW HAVEN INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311Z00000XCustodial Care Facility335520PA
2314000000XSkilled Nursing Facility220402PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295722353
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY VIEW HAVEN INC.
Provider Business Mailing Address
First Line : 4702 E MAIN ST
Second Line :
City : BELLEVILLE
State : PA
Zip : 17004-9251
Country : US
Telephone Number : 717-935-2105
Fax Number : 171-935-5109
Provider Business Practice Location Address
First Line : 4702 E MAIN ST
Second Line :
City : BELLEVILLE
State : PA
Zip : 17004-9251
Country : US
Telephone Number : 717-935-2105
Fax Number : 171-935-5109
Authorized Official
Title or Position : DIRECTOR OF FINANCE
Name : MR. ALLEN WILLIAM HESS
Credential :
Telephone Number : 717-935-2105
Provider Enumeration Date : 10/04/2005
Last Update Date : 01/11/2016

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