Healthcare Provider Details

I. General information

NPI: 1548190119
Provider Name (Legal Business Name): QUEENING ALL QUTEES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 N 2ND ST
RICHMOND VA
23219-1725
US

IV. Provider business mailing address

309 N 2ND ST
RICHMOND VA
23219-1725
US

V. Phone/Fax

Practice location:
  • Phone: 804-630-4444
  • Fax:
Mailing address:
  • Phone: 804-630-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: QUINTA HOUSE
Title or Position: OWNER
Credential:
Phone: 804-630-4444