Healthcare Provider Details

I. General information

NPI: 1336826338
Provider Name (Legal Business Name): QUALITY FIRST SUPPORT GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1099 WHITE HORSE RD FL 2
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: 856-521-9095
  • Fax: 609-543-2413
Mailing address:
  • Phone: 856-521-9095
  • Fax: 609-543-2413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

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