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NPI Code Detail

MEDICARE: VALLEY TRAVELERS SOCIAL EXPLORATION INC.

MEDICARE: VALLEY TRAVELERS SOCIAL EXPLORATION 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
1251G00000XCommunity Based Hospice Care Agency
2385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
3385HR2065XChild Physical Disabilities Respite Care
4251E00000XHome Health Agency

General Provider Information

NPI Number : 1467864140
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY TRAVELERS SOCIAL EXPLORATION INC.
Provider Business Mailing Address
First Line : 2030 W BASELINE RD
Second Line : STE 182-222
City : PHOENIX
State : AZ
Zip : 85041-6574
Country : US
Telephone Number : 602-753-8389
Fax Number :
Provider Business Practice Location Address
First Line : 2030 W BASELINE RD
Second Line : STE 182-222
City : PHOENIX
State : AZ
Zip : 85041-6574
Country : US
Telephone Number : 602-753-8389
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SELENE GONZALEZ
Credential :
Telephone Number : 602-753-8389
Provider Enumeration Date : 05/29/2014
Last Update Date : 05/29/2014

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