Provider Demographics
NPI:1245618974
Name:QUINTESSENCE PLANNING AND CARE COORDINATION
Entity Type:Organization
Organization Name:QUINTESSENCE PLANNING AND CARE COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-953-1467
Mailing Address - Street 1:36357 SYLVAN CIR
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-7116
Mailing Address - Country:US
Mailing Address - Phone:907-953-1467
Mailing Address - Fax:907-260-3869
Practice Address - Street 1:36357 SYLVAN CIR
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-7116
Practice Address - Country:US
Practice Address - Phone:907-953-1467
Practice Address - Fax:907-260-3869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management