Healthcare Provider Details

I. General information

NPI: 1821161803
Provider Name (Legal Business Name): QUINCE NURSING AND REHABILITATION CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 12/08/2023
Certification Date: 12/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6733 QUINCE RD
MEMPHIS TN
38119-8602
US

IV. Provider business mailing address

PO BOX 428
ORCHARD PARK NY
14127-0428
US

V. Phone/Fax

Practice location:
  • Phone: 901-755-3860
  • Fax: 901-755-3895
Mailing address:
  • Phone: 716-662-4955
  • Fax: 716-667-9230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0000000245
License Number StateTN

VIII. Authorized Official

Name: MR. NORBERT A BENNETT
Title or Position: CO-CHIEF EXECUTIVE OFFICER
Credential:
Phone: 716-662-4955