Healthcare Provider Details

I. General information

NPI: 1144105412
Provider Name (Legal Business Name): QUALITY FIRST SUPPORT GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1099 WHITE HORSE RD # 208
VOORHEES NJ
08043-4405
US

IV. Provider business mailing address

1099 WHITE HORSE RD FL 2
VOORHEES NJ
08043-4405
US

V. Phone/Fax

Practice location:
  • Phone: 805-259-6519
  • Fax: 609-543-2413
Mailing address:
  • Phone: 856-521-9095
  • Fax: 609-543-2413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: GEORGIE DIEM NGUYEN
Title or Position: CEO
Credential:
Phone: 856-521-9095