Valley Vista Senior Meals

NPI #1720399538 in St Maries, Idaho

Provider Information

NPI Number: 1720399538
Entity Type: Organization
Organization Name: Valley Vista Senior Meals
Subpart: Yes (part of a larger organization)
Parent Organization: VALLEY VISTA CARE CORPORATION
Primary Specialty: Home Delivered Meals
Enumeration Date: Jun 25, 2010
Last Updated: Jun 25, 2010

Practice Location

Address: 820 ELM DR
City: St Maries
State: Idaho
ZIP Code: 83861-2119
Phone: (208) 245-4576

Authorized Official

Name: KASEY BORGMAN
Title: CORPORATE COMPLIANCE
Phone: (208) 245-4576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Delivered Meals	332U00000X	Primary

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