Provider Demographics
NPI:1417937616
Name:VALLEY CARE ASSOCIATION
Entity Type:Organization
Organization Name:VALLEY CARE ASSOCIATION
Other - Org Name:VALLEY CARE HOME SAFE HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHTULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-749-5257
Mailing Address - Street 1:400 BROAD ST
Mailing Address - Street 2:STE 203
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1500
Mailing Address - Country:US
Mailing Address - Phone:412-749-5257
Mailing Address - Fax:412-749-5424
Practice Address - Street 1:400 BROAD ST
Practice Address - Street 2:STE 203
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1500
Practice Address - Country:US
Practice Address - Phone:412-749-5257
Practice Address - Fax:412-749-5424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017007100004Medicaid