MEDICARE: WYLAND & CAMP INC

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
1	251E00000X	Home Health Agency		CA

General Provider Information

NPI Number	:	1437462934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WYLAND & CAMP INC

Provider Business Mailing Address
First Line	:	16693 ROSCOE BLVD
Second Line	:	SUITE B
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-6121
Country	:	US
Telephone Number	:	818-672-8020
Fax Number	:	818-672-8021

Provider Business Practice Location Address
First Line	:	16693 ROSCOE BLVD
Second Line	:	SUITE B
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-6121
Country	:	US
Telephone Number	:	818-672-8020
Fax Number	:	818-672-8021

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	KERSTIN MCFARLANE
Credential	:
Telephone Number	:	818-672-8020

Provider Enumeration Date	:	07/26/2010
Last Update Date	:	07/26/2010

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