Organization
ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP
Active
Other names
asap epsdt & waivers agency, corp
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE L SCHNABEL (PRESIDENT)
(818) 335-1465
Entity
Organization
Contact information
Practice address
1431 W ROSAMOND BLVD, #14D, ROSAMOND, CA 93560-7428
(818) 335-1465
Mailing address
25379 WAYNE MILLS PL, #134, VALENCIA, CA 91355-1827
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550001769
CA
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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