Healthcare Provider Details

I. General information

NPI: 1124175666
Provider Name (Legal Business Name): QUEST COMMUNITY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 10/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 N. HWY 1651
WHITLEY CITY KY
42653-0000
US

IV. Provider business mailing address

4230 N HWY 1247
SOMERSET KY
42503
US

V. Phone/Fax

Practice location:
  • Phone: 606-376-7117
  • Fax: 606-376-7118
Mailing address:
  • Phone: 606-423-9626
  • Fax: 606-423-9686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TIMMY C. JEFFERS
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 606-423-9626