MEDICARE: EAST VALLEY 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
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1366974669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST VALLEY FAMILY SERVICES

Provider Business Mailing Address
First Line	:	1830 E SAHARA AVE
Second Line	:	SUITE 101
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3737
Country	:	US
Telephone Number	:	702-631-7098
Fax Number	:	702-733-6144

Provider Business Practice Location Address
First Line	:	1830 E SAHARA AVE
Second Line	:	SUITE 101
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3737
Country	:	US
Telephone Number	:	702-631-7098
Fax Number	:	702-733-6144

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. ILEANA MARIA DELFAUS-BECCUE
Credential	:
Telephone Number	:	702-369-8509

Provider Enumeration Date	:	03/28/2017
Last Update Date	:	03/28/2017

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Directions to “EAST VALLEY FAMILY SERVICES ” Practice Location

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