Provider Demographics
NPI:1619382637
Name:QUALITY SENIOR PLACEMENT SPECIALISTS
Entity type:Organization
Organization Name:QUALITY SENIOR PLACEMENT SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASEMANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRIAM, RN, MSN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, CASEMANAGER
Authorized Official - Phone:94951-079-8846
Mailing Address - Street 1:24001 MUIRLANDS BLVD SPC 400
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-1723
Mailing Address - Country:US
Mailing Address - Phone:949-510-7988
Mailing Address - Fax:
Practice Address - Street 1:24001 MUIRLANDS BLVD SPC 400
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-1723
Practice Address - Country:US
Practice Address - Phone:949-510-7988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-27
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA611807251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management