MEDICARE: QUALITY GROUP, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center		NC

General Provider Information

NPI Number	:	1215242433
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY GROUP, INC

Provider Business Mailing Address
First Line	:	514 DANIELS ST
Second Line	:	SUITE 330
City	:	RALEIGH
State	:	NC
Zip	:	27605-1317
Country	:	US
Telephone Number	:	919-389-2925
Fax Number	:

Provider Business Practice Location Address
First Line	:	514 DANIELS ST
Second Line	:	SUITE 330
City	:	RALEIGH
State	:	NC
Zip	:	27605-1317
Country	:	US
Telephone Number	:	919-389-2925
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RAFAEL ORTA
Credential	:
Telephone Number	:	919-389-2925

Provider Enumeration Date	:	08/11/2010
Last Update Date	:	08/11/2010

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