Provider Demographics
NPI:1255938932
Name:ADAMS, VALLI
Entity type:Individual
Prefix:
First Name:VALLI
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20720 FIVE POINTS PIKE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43164-9708
Mailing Address - Country:US
Mailing Address - Phone:419-280-3175
Mailing Address - Fax:
Practice Address - Street 1:20720 FIVE POINTS PIKE
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:OH
Practice Address - Zip Code:43164-9708
Practice Address - Country:US
Practice Address - Phone:419-280-3175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care