MEDICARE: A TO Z 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
1	251S00000X	Community/Behavioral Health Agency	DON'T HAVE ONE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659597490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A TO Z FAMILY SERVICES INC.

Provider Business Mailing Address
First Line	:	36 MAIN STREET
Second Line	:
City	:	DOWNEY
State	:	ID
Zip	:	83234
Country	:	US
Telephone Number	:	208-478-9822
Fax Number	:	208-478-6790

Provider Business Practice Location Address
First Line	:	36 MAIN STREET
Second Line	:
City	:	DOWNEY
State	:	ID
Zip	:	83234
Country	:	US
Telephone Number	:	208-478-9822
Fax Number	:	208-478-6790

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. REBECCA J PERRENOUD
Credential	:	LCSW CIBI
Telephone Number	:	208-785-1326

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	08/22/2020

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Directions to “A TO Z FAMILY SERVICES INC. ” Practice Location

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