# ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** asap epsdt & waivers agency, corp
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265787568
- **Authorized official:** MRS. JAMIE L SCHNABEL (PRESIDENT)
- **Authorized official phone:** (818) 335-1465

## Contact information

- **Practice address:** 1431 W ROSAMOND BLVD, \#14D, ROSAMOND, CA 93560-7428
- **Practice address phone:** (818) 335-1465
- **Mailing address:** 25379 WAYNE MILLS PL, \#134, VALENCIA, CA 91355-1827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 550001769 | CA | Yes |

## Other

- **Enumeration date:** 07/23/2012
- **Last updated:** 07/23/2012