A longtime Valley business that provided health care and assistance for patients in their home has closed, according to multiple sources. mvi HomeCare of Youngstown and Salem closure caught employees and the patients - who received treatment from the senior home care business - scrambling without advance notice of the disruption of services. Rebecca Hughes, a former mvi Clinical Director/Manager, confirmed the closing and told 21 News that all patients that received care from mvi have been placed with other home care agencies in the Valley. Hughes said that 55 employees lost their jobs in the closing and approximately 100 patients were left to find replacement home healthcare in late December.