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NPI Code Detail

MEDICARE: QUALITY CARE LLC

MEDICARE: QUALITY CARE LLC
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
1320800000XMental Illness Community Based Residential Treatment Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568107548
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY CARE LLC
Provider Business Mailing Address
First Line : 5101 OBANNON DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3447
Country : US
Telephone Number : 702-306-0323
Fax Number :
Provider Business Practice Location Address
First Line : 5101 OBANNON DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3447
Country : US
Telephone Number : 702-306-0323
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAVID CRAWFORD
Credential :
Telephone Number : 702-306-0323
Provider Enumeration Date : 05/03/2022
Last Update Date : 05/03/2022

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Directions to “QUALITY CARE LLC ” Practice Location

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