Healthcare Provider Details

I. General information

NPI: 1255331500
Provider Name (Legal Business Name): ON Q NURSING SERVICES L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 N MAIN ST SUITE 308
BEL AIR MD
21014-8843
US

IV. Provider business mailing address

139 N MAIN ST SUITE 308
BEL AIR MD
21014-8843
US

V. Phone/Fax

Practice location:
  • Phone: 410-879-0005
  • Fax: 410-420-2266
Mailing address:
  • Phone: 410-879-0005
  • Fax: 410-420-2266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberR2085
License Number StateMD

VIII. Authorized Official

Name: MISS QUERIDA LYNNE LOPEZ
Title or Position: CEO/COO
Credential:
Phone: 410-879-0005