Provider Demographics
NPI:1942541875
Name:PARTNERS IN CARE FOUNDATION INC
Entity Type:Organization
Organization Name:PARTNERS IN CARE FOUNDATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:W.
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:818-837-3775
Mailing Address - Street 1:732 MOTT ST
Mailing Address - Street 2:STE 150
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-4241
Mailing Address - Country:US
Mailing Address - Phone:818-837-3775
Mailing Address - Fax:818-837-3799
Practice Address - Street 1:732 MOTT ST
Practice Address - Street 2:STE 150
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-4237
Practice Address - Country:US
Practice Address - Phone:818-837-3775
Practice Address - Fax:818-837-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty