Provider Demographics
NPI:1740455609
Name:VAL-LIFE HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:VAL-LIFE HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MIYAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-278-0209
Mailing Address - Street 1:1700 LOMBARD ST
Mailing Address - Street 2:STE 220
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-8211
Mailing Address - Country:US
Mailing Address - Phone:805-278-0209
Mailing Address - Fax:805-278-0219
Practice Address - Street 1:1700 LOMBARD ST
Practice Address - Street 2:STE 220
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-8211
Practice Address - Country:US
Practice Address - Phone:805-278-0209
Practice Address - Fax:805-278-0219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health