Healthcare Provider Details

I. General information

NPI: 1548311525
Provider Name (Legal Business Name): QUALITY IN HOME SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 12/07/2022
Certification Date: 12/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 MARTIN LUTHER KING
INDIANOLA MS
38751
US

IV. Provider business mailing address

108 MARTIN LUTHER KING
INDIANOLA MS
38751
US

V. Phone/Fax

Practice location:
  • Phone: 662-884-1005
  • Fax: 662-884-1003
Mailing address:
  • Phone: 662-884-1005
  • Fax: 662-884-1003

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 Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. ATLEAN J CAIN
Title or Position: MASTER ADM.
Credential:
Phone: 662-207-2958