Provider Demographics
NPI:1760462550
Name:VALLEY CARE ASSOCIATION
Entity Type:Organization
Organization Name:VALLEY CARE ASSOCIATION
Other - Org Name:VALLEY CARE ADULT DAY SERVICES
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:SUITE 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 1:345 MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:AMBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:15003-2519
Practice Address - Country:US
Practice Address - Phone:724-266-9626
Practice Address - Fax:724-266-9332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA040280261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017007100003Medicaid