Healthcare Provider Details

I. General information

NPI: 1619620960
Provider Name (Legal Business Name): QUALITY CARE UNLIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7825 ANGELE LN APT 1427
CHARLOTTE NC
28262-3655
US

IV. Provider business mailing address

7825 ANGELE LN APT 1427
CHARLOTTE NC
28262-3655
US

V. Phone/Fax

Practice location:
  • Phone: 631-394-9183
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: RENEE DAVIS
Title or Position: CEO
Credential:
Phone: 631-394-9183