Antelope Valley Epsdt & Waivers Agency, Corp

NPI #1346658002 in Rosamond, California

Provider Information

NPI Number: 1346658002
Entity Type: Organization
Organization Name: Antelope Valley Epsdt & Waivers Agency, Corp
Primary Specialty: Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date: Jul 25, 2014
Last Updated: Jul 25, 2014

Practice Location

Address: 1431 W ROSAMOND BLVD
Address 2: #14D
City: Rosamond
State: California
ZIP Code: 93560-7428
Phone: (661) 952-9512

Authorized Official

Name: MRS. JAMIE SCHNABEL
Title: PRESIDENT
Phone: (661) 952-9512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X	Primary

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