Provider Demographics
NPI:1962022939
Name:VALLEY VIEW RECOVERY CENTER INC.
Entity Type:Organization
Organization Name:VALLEY VIEW RECOVERY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:CLIFF
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-951-8056
Mailing Address - Street 1:1673 ECHO RIDGE ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-2880
Mailing Address - Country:US
Mailing Address - Phone:507-951-8056
Mailing Address - Fax:
Practice Address - Street 1:31591 64TH AVE
Practice Address - Street 2:
Practice Address - City:CANNON FALLS
Practice Address - State:MN
Practice Address - Zip Code:55009-4296
Practice Address - Country:US
Practice Address - Phone:507-951-8056
Practice Address - Fax:507-206-4599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility