Provider Demographics
NPI:1699545517
Name:ATLANTIC PALLIATIVE CARE LLC
Entity type:Organization
Organization Name:ATLANTIC PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:NUGUID
Authorized Official - Suffix:
Authorized Official - Credentials:BSHC AND MS IN ADM
Authorized Official - Phone:831-539-6886
Mailing Address - Street 1:16600 WOODRUFF AVE STE 209-A
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-4916
Mailing Address - Country:US
Mailing Address - Phone:831-539-6886
Mailing Address - Fax:
Practice Address - Street 1:16600 WOODRUFF AVE STE 209-A
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-4916
Practice Address - Country:US
Practice Address - Phone:831-539-6886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health