Provider Demographics
NPI:1245905827
Name:PALLIATIVE CARE PLUS
Entity type:Organization
Organization Name:PALLIATIVE CARE PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMOZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-321-6396
Mailing Address - Street 1:6521 ARLINGTON BLVD STE 410
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3009
Mailing Address - Country:US
Mailing Address - Phone:703-321-6396
Mailing Address - Fax:
Practice Address - Street 1:6521 ARLINGTON BLVD STE 410
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3009
Practice Address - Country:US
Practice Address - Phone:703-321-6396
Practice Address - Fax:703-532-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based