Provider Demographics
NPI:1891415139
Name:ATZ VALLEY CORPORATION
Entity Type:Organization
Organization Name:ATZ VALLEY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CIELITO
Authorized Official - Last Name:VILLAMOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-235-9765
Mailing Address - Street 1:2447 PACIFIC COAST HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254-2714
Mailing Address - Country:US
Mailing Address - Phone:747-235-9765
Mailing Address - Fax:
Practice Address - Street 1:2447 PACIFIC COAST HWY STE 201
Practice Address - Street 2:
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-2714
Practice Address - Country:US
Practice Address - Phone:747-235-9765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care