Healthcare Provider Details

I. General information

NPI: 1407892912
Provider Name (Legal Business Name): QUALITY QUEST HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 03/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 BENSON AVE SW
WILLMAR MN
56201-3109
US

IV. Provider business mailing address

1010 BENSON AVE SW
WILLMAR MN
56201-3109
US

V. Phone/Fax

Practice location:
  • Phone: 320-235-5440
  • Fax:
Mailing address:
  • Phone: 320-235-5440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMN

VIII. Authorized Official

Name: RACHEL D ANDERSON
Title or Position: ADM
Credential: RN, BSN, PHN
Phone: 320-235-5440