Provider Demographics
NPI:1942775473
Name:VALLEY ASSISTED LIVING INC.
Entity Type:Organization
Organization Name:VALLEY ASSISTED LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARYANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:719-783-4401
Mailing Address - Street 1:30 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SILVER CLIFF
Mailing Address - State:CO
Mailing Address - Zip Code:81252-8581
Mailing Address - Country:US
Mailing Address - Phone:719-783-4401
Mailing Address - Fax:719-783-4402
Practice Address - Street 1:30 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SILVER CLIFF
Practice Address - State:CO
Practice Address - Zip Code:81252-8581
Practice Address - Country:US
Practice Address - Phone:719-783-4401
Practice Address - Fax:719-783-4402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251E00000XAgenciesHome Health