Healthcare Provider Details

I. General information

NPI: 1861691867
Provider Name (Legal Business Name): AMM QUALITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 09/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 S JACKSON ST SUITE 303B
GLENDALE CA
91205-4922
US

IV. Provider business mailing address

126 S JACKSON ST SUITE 303B
GLENDALE CA
91205-4922
US

V. Phone/Fax

Practice location:
  • Phone: 626-675-9463
  • Fax:
Mailing address:
  • Phone: 626-675-9463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS MERIEL DE JESUS
Title or Position: CEO PRESIDENT
Credential:
Phone: 626-675-9463