Healthcare Provider Details

I. General information

NPI: 1356612857
Provider Name (Legal Business Name): QUALITY MANAGEMENT ASSOCIATES - DELAWARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2012
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CINNAMINSON AVE BUILDING B
PALMYRA NJ
08065-2500
US

IV. Provider business mailing address

700 CINNAMINSON AVE BUILDING B
PALMYRA NJ
08065-2500
US

V. Phone/Fax

Practice location:
  • Phone: 856-735-1011
  • Fax:
Mailing address:
  • Phone: 856-735-1011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. SEAN CONLEY
Title or Position: CFO
Credential:
Phone: 856-735-1011