Healthcare Provider Details

I. General information

NPI: 1598081176
Provider Name (Legal Business Name): TWIN QUALITY NURSING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 03/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 WEST MAIN STREET SUITE 218
THOMASVILLE NC
24360
US

IV. Provider business mailing address

14 WEST MAIN STREET SUITE 218
THOMASVILLE NC
24360
US

V. Phone/Fax

Practice location:
  • Phone: 336-475-9125
  • Fax: 336-475-9273
Mailing address:
  • Phone: 336-475-9125
  • Fax: 336-475-9273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number251J00000X
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL PERNELL SPARKS
Title or Position: CEO
Credential:
Phone: 336-475-9125