Provider Demographics
NPI:1356625370
Name:VALLEY VIEW ASSISTED LIVING LLC
Entity type:Organization
Organization Name:VALLEY VIEW ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:K
Authorized Official - Last Name:HELGOTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-536-3390
Mailing Address - Street 1:915 7TH ST
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:NE
Mailing Address - Zip Code:68638-3093
Mailing Address - Country:US
Mailing Address - Phone:308-536-3390
Mailing Address - Fax:308-536-3336
Practice Address - Street 1:915 7TH ST
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:NE
Practice Address - Zip Code:68638-3093
Practice Address - Country:US
Practice Address - Phone:308-536-3390
Practice Address - Fax:308-536-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEALF250310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility