MEDICARE: ALLIED QUALITYCARE L.L.C

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

General Provider Information

NPI Number	:	1770301889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED QUALITYCARE L.L.C

Provider Business Mailing Address
First Line	:	1636 PIN OAK DR
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20601-3532
Country	:	US
Telephone Number	:	301-502-3903
Fax Number	:

Provider Business Practice Location Address
First Line	:	1636 PIN OAK DR
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20601-3532
Country	:	US
Telephone Number	:	301-502-3903
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	CAROLINE SHAKA
Credential	:	LPN
Telephone Number	:	301-502-3903

Provider Enumeration Date	:	09/27/2024
Last Update Date	:	10/01/2024

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