National Provider Identifier Database

QUILTED CARE LTD CO DBA PEPPERTREE SQUARE
Health Service


Contact Information

QUILTED CARE LTD. CO, DBA PEPPERTREE SQUARE
10420 N 89TH AVE
PEORIA, AZ85345-6453
Phone: 623-878-5115
Fax: 623-878-1604
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for QUILTED CARE LTD. CO, DBA PEPPERTREE SQUARE

NPI Number 1689885543
Legal business name
LBN
QUILTED CARE LTD. CO, DBA PEPPERTREE SQUARE
Authorized official ETTA KOSKOVICH - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 05/24/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: ALC-4673

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for QUILTED CARE LTD. CO, DBA PEPPERTREE SQUARE

There are currently no reviews for QUILTED CARE LTD. CO, DBA PEPPERTREE SQUARE


NPIdb - Home
v2.201