Provider Demographics
NPI:1154052462
Name:MEADOW WALK HOME HEALTH & PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:MEADOW WALK HOME HEALTH & PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-974-2676
Mailing Address - Street 1:750 TERRADO PLZ STE 42A
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3445
Mailing Address - Country:US
Mailing Address - Phone:818-599-7755
Mailing Address - Fax:717-241-8401
Practice Address - Street 1:750 TERRADO PLZ STE 42A
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3445
Practice Address - Country:US
Practice Address - Phone:818-599-7755
Practice Address - Fax:717-241-8401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-19
Last Update Date:2022-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health