Provider Demographics
NPI:1376943597
Name:PALISADES HEALTHCARE PARTNERS INC
Entity Type:Organization
Organization Name:PALISADES HEALTHCARE PARTNERS INC
Other - Org Name:ASAP SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRPERSON
Authorized Official - Prefix:MS
Authorized Official - First Name:WEHIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALIFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-980-3834
Mailing Address - Street 1:1822 JEFFERSON PL NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-2505
Mailing Address - Country:US
Mailing Address - Phone:202-293-2931
Mailing Address - Fax:202-293-3480
Practice Address - Street 1:1822 JEFFERSON PL NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-2505
Practice Address - Country:US
Practice Address - Phone:202-293-2931
Practice Address - Fax:202-293-3480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health