NPI: 1346658002
Provider Name: ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP
Former Legal Business Name: ASAP EPSDT & WAIVERS AGENCY, CORP
Classification: Respite Care - 385HR2060X
Entity Type: Organization
Specialization: Respite Care, Intellectual and/or Developmental Disabilities
Address:
1431 W ROSAMOND BLVD
#14D
ROSAMOND, CA
ZIP 93560
Phone: (661) 952-9512
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ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP is a respite care and mental retardation and/or developmental disabilities respite care in Rosamond, CA. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP NPI is 1346658002. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Asap Epsdt & Waivers Agency, Corp.
The provider's business location address is:
1431 W ROSAMOND BLVD
#14D
ROSAMOND, CA
ZIP 93560-428
Phone: (661) 952-9512
The provider's authorized official is Jamie Schnabel .
The authorized official title is President and has the following contact phone number (661) 952-9512.
The enumeration date for this NPI number is 7/25/2014 and was last updated on 7/25/2014.