Healthcare Provider Details

I. General information

NPI: 1215995287
Provider Name (Legal Business Name): QUALITY HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 08/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 W MAIN ST
CAMDEN TN
38320
US

IV. Provider business mailing address

PO BOX 10
PARSONS TN
38363-0010
US

V. Phone/Fax

Practice location:
  • Phone: 731-584-2700
  • Fax: 731-584-3866
Mailing address:
  • Phone: 731-847-1356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0000000008
License Number StateTN

VIII. Authorized Official

Name: ROBIN F BRADLEY
Title or Position: SECRETARY
Credential:
Phone: 615-595-8383