MEDICARE: BRITTNEY QUALLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172V00000X	Community Health Worker
2	374U00000X	Home Health Aide
3	104100000X	Social Worker

General Provider Information

NPI Number	:	1013656826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNEY QUALLS

Provider Business Mailing Address
First Line	:	1595 PLEASANT VALLEY RD
Second Line	:
City	:	VINTON
State	:	OH
Zip	:	45686-9029
Country	:	US
Telephone Number	:	740-688-8088
Fax Number	:

Provider Business Practice Location Address
First Line	:	1595 PLEASANT VALLEY RD
Second Line	:
City	:	VINTON
State	:	OH
Zip	:	45686-9029
Country	:	US
Telephone Number	:	740-688-8088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2022
Last Update Date	:	03/07/2025

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Directions to “ BRITTNEY QUALLS ” Practice Location

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