- Enrollment id
- O20170206000746
- Enrollment state
- MI
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1841746435
- Multiple npi flag
- N
- Ccn
- 231660
- Associate id
- 2567745151
- Organization name
- VALLEY HOSPICE CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3175 CHRISTY WAY S
- Address line 2
- STE A
- City
- SAGINAW
- State
- MI
- Zip code
- 486032210