Healthcare Provider Details

I. General information

NPI: 1982289443
Provider Name (Legal Business Name): QUALITY TOUCH HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 02/02/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 S JACKSON ST STE 233
ALBANY GA
31701-2887
US

IV. Provider business mailing address

230 S JACKSON ST STE 233
ALBANY GA
31701-2887
US

V. Phone/Fax

Practice location:
  • Phone: 229-588-1525
  • Fax:
Mailing address:
  • Phone: 229-588-1525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHIQUITA JEFFERSON
Title or Position: OWNER/ADMINISTRATOR
Credential: RN
Phone: 229-588-1525