Provider Demographics
NPI:1780269829
Name:PROFESSIONAL&ATTENTIVE CARE PROVIDERS
Entity type:Organization
Organization Name:PROFESSIONAL&ATTENTIVE CARE PROVIDERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIJADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-303-5518
Mailing Address - Street 1:2937 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81504-5354
Mailing Address - Country:US
Mailing Address - Phone:661-303-5518
Mailing Address - Fax:
Practice Address - Street 1:2937 SUNSET DR
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81504-5354
Practice Address - Country:US
Practice Address - Phone:661-303-5518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health