Provider Demographics
NPI:1568925006
Name:PARTNERS HOSPICE QUALITY CARE, LLC
Entity Type:Organization
Organization Name:PARTNERS HOSPICE QUALITY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRE
Authorized Official - Prefix:MS
Authorized Official - First Name:EVANGELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-820-0589
Mailing Address - Street 1:317 WEST LA HABRA BLVD.
Mailing Address - Street 2:SUITE #200
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-5497
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:317 WEST LA HABRA BLVD.
Practice Address - Street 2:SUITE #200
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-5497
Practice Address - Country:US
Practice Address - Phone:714-820-0589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based