Healthcare Provider Details
I. General information
NPI: 1487591632
Provider Name (Legal Business Name): QW DEPENDABLE CARE NURSING PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19930 WRIGHT DR
LOS GATOS CA
95033-8842
US
IV. Provider business mailing address
19930 WRIGHT DR
LOS GATOS CA
95033-8842
US
V. Phone/Fax
- Phone: 408-605-6964
- Fax:
- Phone: 408-605-6964
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 376G00000X |
| Taxonomy | Nursing Home Administrator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
QINGZHI
WU
Title or Position: OWNER
Credential: NP
Phone: 718-233-9122