Provider Demographics
NPI:1386224236
Name:EJA INC DBA ALWAYS BEST CARE DESERT CITIES
Entity Type:Organization
Organization Name:EJA INC DBA ALWAYS BEST CARE DESERT CITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:EUSEBIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:WORTELBOER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-280-1015
Mailing Address - Street 1:45150 CLUB DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN WELLS
Mailing Address - State:CA
Mailing Address - Zip Code:92210-8806
Mailing Address - Country:US
Mailing Address - Phone:760-851-0740
Mailing Address - Fax:866-795-5670
Practice Address - Street 1:45150 CLUB DR
Practice Address - Street 2:
Practice Address - City:INDIAN WELLS
Practice Address - State:CA
Practice Address - Zip Code:92210-8806
Practice Address - Country:US
Practice Address - Phone:760-851-0740
Practice Address - Fax:866-795-5670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care