Provider Demographics
NPI:1073855003
Name:CRISTINA'S QUALITY CARE SERVICES
Entity Type:Organization
Organization Name:CRISTINA'S QUALITY CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PCA
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-773-1493
Mailing Address - Street 1:732 MOORES DIAMOND DR
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-7406
Mailing Address - Country:US
Mailing Address - Phone:970-773-1493
Mailing Address - Fax:
Practice Address - Street 1:732 MOORES DIAMOND DR
Practice Address - Street 2:
Practice Address - City:FRUITA
Practice Address - State:CO
Practice Address - Zip Code:81521-7406
Practice Address - Country:US
Practice Address - Phone:970-773-1493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-16
Last Update Date:2013-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health