| Organization Name: | VALLEY SENIOR SERVICES ALLIANCE |
| NPI Number: | 1629361092 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBECCA A. CONWAY (EXECUTIVE DIRECTOR OF CREATIVE INDE) |
| Mailing Address: | 5610 Norwich Parkway Oak Park Heights |
| State: | MN US |
| Postal Code: | 55082 |
| Phone Number: | 8512755801 |
| Fax Number: | 6512755802 |
| NPI Enumeration Date: | 05/18/2011 |
| NPI Last Update Date: | 02/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 1064266-1-ADC |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |