MEDICARE: QUALITY HOME HEALTH CARE INC

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	251E00000X	Home Health Agency	07-095	WY

General Provider Information

NPI Number	:	1386740496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	410 E GRAND AVE STE 313
Second Line	:
City	:	LARAMIE
State	:	WY
Zip	:	82070-3715
Country	:	US
Telephone Number	:	307-742-9035
Fax Number	:	307-742-9051

Provider Business Practice Location Address
First Line	:	410 E GRAND AVE STE 313
Second Line	:
City	:	LARAMIE
State	:	WY
Zip	:	82070-3715
Country	:	US
Telephone Number	:	307-742-9035
Fax Number	:	307-742-9051

Authorized Official
Title or Position	:	PRESDENT
Name	:	MS. CAROL SUE WILKINSON
Credential	:
Telephone Number	:	307-742-9035

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	08/22/2020

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