Healthcare Provider Details

I. General information

NPI: 1164186433
Provider Name (Legal Business Name): QUALITY CASE MANAGEMENT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2021
Last Update Date: 04/26/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1446 LOCUST AVE
FAIRMONT WV
26554-1330
US

IV. Provider business mailing address

PO BOX 1125
FAIRMONT WV
26555-1125
US

V. Phone/Fax

Practice location:
  • Phone: 304-816-1455
  • Fax:
Mailing address:
  • Phone: 304-534-8890
  • Fax: 844-907-2986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SONYA ALICIA SINGLETON
Title or Position: OWNER/OPERATOR
Credential: MSW LGSW
Phone: 304-816-1455