Healthcare Provider Details

I. General information

NPI: 1366505042
Provider Name (Legal Business Name): QUALITY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 JADEN COVE
TRUMANN AR
72472
US

IV. Provider business mailing address

PO BOX 84
TRUMANN AR
72472-0084
US

V. Phone/Fax

Practice location:
  • Phone: 870-483-1006
  • Fax: 870-483-1009
Mailing address:
  • Phone: 870-483-1006
  • Fax: 870-483-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY DAWN WATKINS
Title or Position: PRESIDENT
Credential:
Phone: 870-483-1006