Provider Demographics
NPI:1538218078
Name:QUALITY HOSPICE CARE INCORPORATION
Entity type:Organization
Organization Name:QUALITY HOSPICE CARE INCORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABLOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-667-8609
Mailing Address - Street 1:18856 AMAR ROAD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-5034
Mailing Address - Country:US
Mailing Address - Phone:626-667-8609
Mailing Address - Fax:626-667-8610
Practice Address - Street 1:18856 AMAR ROAD
Practice Address - Street 2:SUITE 9
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-5034
Practice Address - Country:US
Practice Address - Phone:626-667-8609
Practice Address - Fax:626-667-8610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACNC 331078Medicaid
CACNC 331078Medicaid