Provider Demographics
NPI:1184817157
Name:POE MANAGEMENT , INC
Entity Type:Organization
Organization Name:POE MANAGEMENT , INC
Other - Org Name:HOMEMAKER ASSISTANT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MALINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTERGOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-688-2996
Mailing Address - Street 1:10467 IVES ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-4126
Mailing Address - Country:US
Mailing Address - Phone:562-688-2996
Mailing Address - Fax:562-461-9118
Practice Address - Street 1:10467 IVES ST
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-4126
Practice Address - Country:US
Practice Address - Phone:562-688-2996
Practice Address - Fax:562-461-9118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherMEDICARE