Provider Demographics
NPI:1578108650
Name:APPEARANCE QUALITY HOME INC
Entity Type:Organization
Organization Name:APPEARANCE QUALITY HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:V
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:909-240-7939
Mailing Address - Street 1:PO BOX 400308
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92340-0308
Mailing Address - Country:US
Mailing Address - Phone:909-240-7939
Mailing Address - Fax:
Practice Address - Street 1:10752 OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-2452
Practice Address - Country:US
Practice Address - Phone:760-956-2800
Practice Address - Fax:760-956-2805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Single Specialty