Provider Demographics
NPI:1427192319
Name:VIL-MATTHEWS, YOUSELINE (CASE MANAGER)
Entity Type:Individual
Prefix:MRS
First Name:YOUSELINE
Middle Name:
Last Name:VIL-MATTHEWS
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:MISS
Other - First Name:YOUSELINE
Other - Middle Name:
Other - Last Name:VIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:330 KAY LARKIN DRIVE
Mailing Address - Street 2:
Mailing Address - City:PALATICA
Mailing Address - State:FL
Mailing Address - Zip Code:32177
Mailing Address - Country:US
Mailing Address - Phone:386-329-3780
Mailing Address - Fax:386-385-1269
Practice Address - Street 1:330 KAY LARKIN DRIVE
Practice Address - Street 2:
Practice Address - City:PALATICA
Practice Address - State:FL
Practice Address - Zip Code:32177
Practice Address - Country:US
Practice Address - Phone:386-329-3780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator