MEDICARE: QUANTUM VENTURES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1356905822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUANTUM VENTURES

Provider Business Mailing Address
First Line	:	18055 FISH LAKE RD
Second Line	:
City	:	HOLLY
State	:	MI
Zip	:	48442-8624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18055 FISH LAKE RD
Second Line	:
City	:	HOLLY
State	:	MI
Zip	:	48442-8624
Country	:	US
Telephone Number	:	248-467-0401
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAMELIA JOBES
Credential	:
Telephone Number	:	248-467-0401

Provider Enumeration Date	:	04/30/2019
Last Update Date	:	04/30/2019

Similar Medicare Providers

1518420033 — PAMELIA JOBES
Practice Location Address:

18055 FISH LAKE RD
HOLLY, MI
48442-8624

Practice Phone: 248-467-0401
Practice Fax:

1902797707 — KAYLIE TEREASE YSASI M.S.
Practice Location Address:

209 SPRINGLEAF CT
HOLLY SPRINGS, NC
27540-8624

Practice Phone: 252-702-0074
Practice Fax:

1881452217 — NICHOLAS JAMES LESKE
Practice Location Address:

5130 ROSE HILL BLVD
HOLLY, MI
48442-9507

Practice Phone: 248-531-2403
Practice Fax:

1346213360 — SHAWN ALLAN DEVARY DC
Practice Location Address:

1121 N SAGINAW ST , SUITE 2
HOLLY, MI
48442-1380

Practice Phone: 248-328-9291
Practice Fax: 248-328-0944

1740245588 — MRS. NATALIE JEANNE KARPOVICH MPT
Practice Location Address:

1016 N SAGINAW ST STE B
HOLLY, MI
48442-1379

Practice Phone: 248-625-5998
Practice Fax: 248-625-3975

1689623530 — WILLIAM BOGGS P.C.
Practice Location Address:

1121 N SAGINAW ST , SUIT 2
HOLLY, MI
48442-1380

Practice Phone: 248-328-9291
Practice Fax: 248-328-9044

Directions to “QUANTUM VENTURES ” Practice Location

Language	Start Address	Practice Location

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