| Organization Name: | QUALCARE HOSPICE INC |
| NPI Number: | 1013162429 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FREDA JOY PRIMICIAS (PRESIDENT) |
| Mailing Address: | 4959 Palo Verde St Ste 106c Montclair |
| State: | CA US |
| Postal Code: | 917632356 |
| Phone Number: | 9096264242 |
| Fax Number: | 9096264545 |
| NPI Enumeration Date: | 11/26/2008 |
| NPI Last Update Date: | 10/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |