Provider Demographics
NPI:1912062076
Name:VALLEY GERIATRIC & FAMILY SERVICES, LLC
Entity Type:Organization
Organization Name:VALLEY GERIATRIC & FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:G
Authorized Official - Last Name:VALLI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:480-990-1099
Mailing Address - Street 1:8719 E COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5052
Mailing Address - Country:US
Mailing Address - Phone:480-990-1099
Mailing Address - Fax:480-990-1099
Practice Address - Street 1:8719 E COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5052
Practice Address - Country:US
Practice Address - Phone:480-990-1099
Practice Address - Fax:480-990-1099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ117921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty