Healthcare Provider Details

I. General information

NPI: 1427520675
Provider Name (Legal Business Name): RNC QUALITY PROFESSIONAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2018
Last Update Date: 01/03/2022
Certification Date: 12/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 SOUTH SR-7, #318
MIRAMAR FL
33023-3504
US

IV. Provider business mailing address

3600 SOUTH SR-7, #318
MIRAMAR FL
33023-3504
US

V. Phone/Fax

Practice location:
  • Phone: 954-907-3177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ROSA JACQUES
Title or Position: OWNER, PRESIDENT
Credential:
Phone: 954-907-3177