Provider Demographics
NPI:1912250804
Name:VALLEY MOVER
Entity Type:Organization
Organization Name:VALLEY MOVER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WUITSCHICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-892-8830
Mailing Address - Street 1:PO BOX 298925
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99629-8925
Mailing Address - Country:US
Mailing Address - Phone:907-892-8800
Mailing Address - Fax:907-892-8801
Practice Address - Street 1:8336 W PARKS HIGHWAY
Practice Address - Street 2:
Practice Address - City:MEADOW LAKES
Practice Address - State:AK
Practice Address - Zip Code:99652
Practice Address - Country:US
Practice Address - Phone:907-892-8800
Practice Address - Fax:907-892-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK939969347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus