Provider Demographics
NPI:1295407211
Name:GENTLE HANDS OF THE VALLEY CARE
Entity Type:Organization
Organization Name:GENTLE HANDS OF THE VALLEY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-210-4545
Mailing Address - Street 1:777 W CHANDLER BLVD APT 1256
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-2532
Mailing Address - Country:US
Mailing Address - Phone:815-210-4545
Mailing Address - Fax:
Practice Address - Street 1:777 W CHANDLER BLVD APT 1256
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-2532
Practice Address - Country:US
Practice Address - Phone:815-210-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health