Provider Demographics
NPI:1487099727
Name:HEALING CARE ALLIES INC
Entity type:Organization
Organization Name:HEALING CARE ALLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNAVAL
Authorized Official - Middle Name:DACANAY
Authorized Official - Last Name:VILLAFUERTE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, GCS, CLT, WCC
Authorized Official - Phone:831-566-4510
Mailing Address - Street 1:9955 DE SOTO AVE
Mailing Address - Street 2:# 1
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-4202
Mailing Address - Country:US
Mailing Address - Phone:831-566-4510
Mailing Address - Fax:
Practice Address - Street 1:9955 DE SOTO AVE
Practice Address - Street 2:# 1
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-4202
Practice Address - Country:US
Practice Address - Phone:831-566-4510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT32295261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy