Healthcare Provider Details

I. General information

NPI: 1205966942
Provider Name (Legal Business Name): QUALITY HOME CARE & COMMUNITY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 05/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SOUTH MAIN STREET
BLADENBORO NC
28320-0326
US

IV. Provider business mailing address

PO BOX 326 400 SOUTH MAIN STREET
BLADENBORO NC
28320-0326
US

V. Phone/Fax

Practice location:
  • Phone: 910-863-3004
  • Fax:
Mailing address:
  • Phone: 910-863-3004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC2787
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC3014
License Number StateNC

VIII. Authorized Official

Name: MRS. KELLY TURNER
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 910-863-3004