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NPI Code Detail

MEDICARE: VILLAGE FAMILY SERVICES

MEDICARE: VILLAGE FAMILY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1386883817
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLAGE FAMILY SERVICES
Provider Business Mailing Address
First Line : 16718 NICKLAUS DR UNIT 60
Second Line :
City : SYLMAR
State : CA
Zip : 91342-1675
Country : US
Telephone Number : 213-248-3516
Fax Number :
Provider Business Practice Location Address
First Line : 6736 LAUREL CANYON BLVD STE 200
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-1576
Country : US
Telephone Number : 818-755-8786
Fax Number :
Authorized Official
Title or Position : CASE MANAGER
Name : MS. ANGELA ANNETTE GUSTAVE-MORGAN
Credential :
Telephone Number : 213-248-3516
Provider Enumeration Date : 02/06/2009
Last Update Date : 02/10/2009

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Directions to “VILLAGE FAMILY SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.