Provider Demographics
NPI:1184977209
Name:HOSPICE OF THE VALLEY, INC
Entity type:Organization
Organization Name:HOSPICE OF THE VALLEY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:KILBURY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, CHPN, CHPCA
Authorized Official - Phone:330-788-1992
Mailing Address - Street 1:5190 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-2131
Mailing Address - Country:US
Mailing Address - Phone:330-788-1992
Mailing Address - Fax:330-788-1998
Practice Address - Street 1:225 VILLA MARIE ROAD
Practice Address - Street 2:
Practice Address - City:VILLA MARIA
Practice Address - State:PA
Practice Address - Zip Code:16155-9800
Practice Address - Country:US
Practice Address - Phone:724-964-1082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPICE OF THE VALLEY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based