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NPI Code Detail

MEDICARE: VALLEY OPPORTUNITY COUNCIL, INC.

MEDICARE: VALLEY OPPORTUNITY COUNCIL, 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
1310400000XAssisted Living Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11900145OTHERMAMASSHEALTH PROVIDER ID

General Provider Information

NPI Number : 1649393489
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY OPPORTUNITY COUNCIL, INC.
Provider Business Mailing Address
First Line : 300 HIGH ST
Second Line : 3RD FLOOR
City : HOLYOKE
State : MA
Zip : 01040-6520
Country : US
Telephone Number : 413-552-1554
Fax Number : 413-552-1558
Provider Business Practice Location Address
First Line : 152 CENTER ST
Second Line :
City : CHICOPEE
State : MA
Zip : 01013-1611
Country : US
Telephone Number : 413-612-0212
Fax Number : 413-612-0217
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. STEPHEN HUNTLEY
Credential :
Telephone Number : 413-552-1554
Provider Enumeration Date : 04/09/2007
Last Update Date : 08/22/2020

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Directions to “VALLEY OPPORTUNITY COUNCIL, INC. ” Practice Location

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