Healthcare Provider Details

I. General information

NPI: 1972052389
Provider Name (Legal Business Name): QUALITY FUTURE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2016
Last Update Date: 09/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6711 VAN NUYS BLVD
VAN NUYS CA
91405-4620
US

IV. Provider business mailing address

6711 VAN NUYS BLVD
VAN NUYS CA
91405-4620
US

V. Phone/Fax

Practice location:
  • Phone: 818-787-2828
  • Fax:
Mailing address:
  • Phone: 818-787-2828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000736
License Number StateCA

VIII. Authorized Official

Name: MR. MARK SHERMAN
Title or Position: CEO
Credential:
Phone: 818-787-2828