Healthcare Provider Details

I. General information

NPI: 1952905655
Provider Name (Legal Business Name): QUALITY HOME CARE 4U,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2020
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4967 NOMINI HALL RD
HAGUE VA
22469-2517
US

IV. Provider business mailing address

4967 NOMINI HALL RD
HAGUE VA
22469-2517
US

V. Phone/Fax

Practice location:
  • Phone: 804-214-1419
  • Fax:
Mailing address:
  • Phone: 804-214-1419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MELINDA MASHELLE WILSON
Title or Position: OWNER
Credential:
Phone: 804-214-1419