Healthcare Provider Details

I. General information

NPI: 1285679191
Provider Name (Legal Business Name): QUALITY ADHC,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 ATLANTIC AVE
LONG BEACH CA
90805-6020
US

IV. Provider business mailing address

5350 ATLANTIC AVE
LONG BEACH CA
90805-6020
US

V. Phone/Fax

Practice location:
  • Phone: 562-728-4300
  • Fax: 562-728-4350
Mailing address:
  • Phone: 562-728-4300
  • Fax: 562-728-4350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LILIA PRYOR
Title or Position: ADMINISTRATOR
Credential:
Phone: 562-728-4300