Provider Demographics
NPI:1215276639
Name:PARTLOW QUALITY ADULT CARE
Entity type:Organization
Organization Name:PARTLOW QUALITY ADULT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELNORA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-894-6464
Mailing Address - Street 1:5220 DICKERSON RD
Mailing Address - Street 2:
Mailing Address - City:PARTLOW
Mailing Address - State:VA
Mailing Address - Zip Code:22534-9789
Mailing Address - Country:US
Mailing Address - Phone:540-894-6464
Mailing Address - Fax:
Practice Address - Street 1:5220 DICKERSON RD
Practice Address - Street 2:
Practice Address - City:PARTLOW
Practice Address - State:VA
Practice Address - Zip Code:22534-9789
Practice Address - Country:US
Practice Address - Phone:540-894-6464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities