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NPI Code Detail

MEDICARE: AGING & INDEPENDENCE SERVICES

MEDICARE: AGING & INDEPENDENCE 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
1251B00000XCase Management Agency

Other Identifiers

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

General Provider Information

NPI Number : 1710308986
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGING & INDEPENDENCE SERVICES
Provider Business Mailing Address
First Line : PO BOX 23217
Second Line :
City : SAN DIEGO
State : CA
Zip : 92193-3217
Country : US
Telephone Number : 858-495-5885
Fax Number : 858-495-5080
Provider Business Practice Location Address
First Line : 5560 OVERLAND AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1204
Country : US
Telephone Number : 858-495-5885
Fax Number : 858-495-5080
Authorized Official
Title or Position : AIS DIRECTOR
Name : ELLEN SCHMEDING
Credential : MS, MFT
Telephone Number : 858-505-6329
Provider Enumeration Date : 12/13/2013
Last Update Date : 12/13/2013

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Directions to “AGING & INDEPENDENCE SERVICES ” Practice Location

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