Provider Demographics
NPI:1083906200
Name:ALL VALLEY HOME HEALTH
Entity Type:Organization
Organization Name:ALL VALLEY HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DORNFEST
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:661-406-2748
Mailing Address - Street 1:44421 10TH ST W STE H
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3335
Mailing Address - Country:US
Mailing Address - Phone:661-406-2748
Mailing Address - Fax:661-942-3908
Practice Address - Street 1:44421 10TH ST W STE H
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3335
Practice Address - Country:US
Practice Address - Phone:661-406-2748
Practice Address - Fax:661-942-3908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000599251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health