Healthcare Provider Details

I. General information

NPI: 1649622556
Provider Name (Legal Business Name): Q & R HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2016
Last Update Date: 07/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2865 LYNCREST DR
NASHVILLE TN
37214-3516
US

IV. Provider business mailing address

2865 LYNCREST DR
NASHVILLE TN
37214-3516
US

V. Phone/Fax

Practice location:
  • Phone: 615-415-7313
  • Fax:
Mailing address:
  • Phone: 615-415-7313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number074231675
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MAXIE L ROBINSON
Title or Position: DIRECTOR
Credential: BS
Phone: 615-618-0890