NPI | 1740835743 |
---|---|
Former Legal Business Name | QUEENSCARE HEALTH CENTERS |
Entity Type | Organization |
Authorized Contact | ELOISA PERARD President & CEO 323-669-4321 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-08-06 |
Last Update Date | 2024-06-27 |