Healthcare Provider Details

I. General information

NPI: 1588716328
Provider Name (Legal Business Name): QUAKERHILL HEALTHCARE MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 03/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HIGHLAND BLVD
NEW CASTLE DE
19720-3981
US

IV. Provider business mailing address

2 HIGHLAND BLVD
NEW CASTLE DE
19720-3981
US

V. Phone/Fax

Practice location:
  • Phone: 917-225-0058
  • Fax:
Mailing address:
  • Phone: 917-225-0058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANTONIO GALAN
Title or Position: PRACTICE ADMINISTRATOR
Credential: P.T.
Phone: 917-225-0058