Provider Demographics
NPI:1366974669
Name:EAST VALLEY FAMILY SERVICES
Entity type:Organization
Organization Name:EAST VALLEY FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ILEANA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:DELFAUS-BECCUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-369-8509
Mailing Address - Street 1:1830 E SAHARA AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3737
Mailing Address - Country:US
Mailing Address - Phone:702-631-7098
Mailing Address - Fax:702-733-6144
Practice Address - Street 1:1830 E SAHARA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3737
Practice Address - Country:US
Practice Address - Phone:702-631-7098
Practice Address - Fax:702-733-6144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management