Provider Demographics
NPI:1720893548
Name:VALLEY BEAUTIFUL HEALTHCARE LLC
Entity type:Organization
Organization Name:VALLEY BEAUTIFUL HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:GARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-443-6080
Mailing Address - Street 1:647 N MAIN AVENUE
Mailing Address - Street 2:
Mailing Address - City:ERWIN
Mailing Address - State:TN
Mailing Address - Zip Code:37650
Mailing Address - Country:US
Mailing Address - Phone:423-735-3405
Mailing Address - Fax:423-735-3408
Practice Address - Street 1:647 N MAIN AVENUE
Practice Address - Street 2:
Practice Address - City:ERWIN
Practice Address - State:TN
Practice Address - Zip Code:37650-1319
Practice Address - Country:US
Practice Address - Phone:423-735-3405
Practice Address - Fax:423-735-3408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty