Provider Demographics
NPI:1619006665
Name:VALLEY CARE INC
Entity Type:Organization
Organization Name:VALLEY CARE INC
Other - Org Name:LITTLE GENIE ASSISTED LIVING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:AUZA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:907-336-2892
Mailing Address - Street 1:PO BOX 241525
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99524-1525
Mailing Address - Country:US
Mailing Address - Phone:907-336-2892
Mailing Address - Fax:907-522-0882
Practice Address - Street 1:7538 STANLEY DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-2639
Practice Address - Country:US
Practice Address - Phone:907-770-7718
Practice Address - Fax:907-522-0882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK100420310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility