Provider Demographics
NPI:1689077695
Name:PALMS PERSONAL HOME CARE
Entity Type:Organization
Organization Name:PALMS PERSONAL HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARCELIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-832-6043
Mailing Address - Street 1:1075 S PALM CANYON DR
Mailing Address - Street 2:SUITE 1075
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-8377
Mailing Address - Country:US
Mailing Address - Phone:760-832-6043
Mailing Address - Fax:760-832-6043
Practice Address - Street 1:1075 S PALM CANYON DR
Practice Address - Street 2:SUITE 1075
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-8377
Practice Address - Country:US
Practice Address - Phone:760-832-6043
Practice Address - Fax:760-832-6043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health