Provider Demographics
NPI:1316587264
Name:PARTNERS IN CARE FOUNDATION, INC.
Entity type:Organization
Organization Name:PARTNERS IN CARE FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:W.
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-837-3775
Mailing Address - Street 1:732 MOTT ST STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-4241
Mailing Address - Country:US
Mailing Address - Phone:818-837-3775
Mailing Address - Fax:
Practice Address - Street 1:732 MOTT ST STE 150
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-4241
Practice Address - Country:US
Practice Address - Phone:818-837-3775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable