MEDICARE: BELOVED QUALITY CARE UNLIMITED

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1710320460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELOVED QUALITY CARE UNLIMITED

Provider Business Mailing Address
First Line	:	6210 WINDROSE HOLLOW LN
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-8907
Country	:	US
Telephone Number	:	281-923-0776
Fax Number	:	281-655-5922

Provider Business Practice Location Address
First Line	:	6210 WINDROSE HOLLOW LN
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-8907
Country	:	US
Telephone Number	:	281-923-0776
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHINENYE N OJI
Credential	:
Telephone Number	:	281-923-0776

Provider Enumeration Date	:	04/12/2013
Last Update Date	:	04/12/2013

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