Provider Demographics
NPI:1417773805
Name:THE EDGE PLACEMENT INC.
Entity type:Organization
Organization Name:THE EDGE PLACEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE/ADMIN OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMINGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-634-3917
Mailing Address - Street 1:17050 CHATSWORTH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-5877
Mailing Address - Country:US
Mailing Address - Phone:747-206-8820
Mailing Address - Fax:818-360-6771
Practice Address - Street 1:17050 CHATSWORTH ST STE 105
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-5877
Practice Address - Country:US
Practice Address - Phone:747-206-8820
Practice Address - Fax:818-360-6771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care