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NPI Code Detail

MEDICARE: THE VILLAGE FAMILY SERVICES, INC.

MEDICARE: THE VILLAGE FAMILY SERVICES, 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
1171M00000XCase Manager/Care Coordinator
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1083749725
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE VILLAGE FAMILY SERVICES, INC.
Provider Business Mailing 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 : 818-755-8789
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 : 818-755-8789
Authorized Official
Title or Position : RISK MGMT. AND COMPLIANCE MANAGER
Name : LORENA VEGA
Credential :
Telephone Number : 818-755-8786
Provider Enumeration Date : 02/22/2007
Last Update Date : 01/14/2025

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Directions to “THE VILLAGE FAMILY SERVICES, INC. ” Practice Location

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