MEDICARE: QUALITY HOMECARE 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
1	253Z00000X	In Home Supportive Care Agency	136493	GA

General Provider Information

NPI Number	:	1851778450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY HOMECARE LLC

Provider Business Mailing Address
First Line	:	6850 RIVER RD APT 101
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-2390
Country	:	US
Telephone Number	:	706-442-9613
Fax Number	:	706-610-1153

Provider Business Practice Location Address
First Line	:	6850 RIVER RD APT 101
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-2390
Country	:	US
Telephone Number	:	706-442-9613
Fax Number	:	706-610-1153

Authorized Official
Title or Position	:	OWNER
Name	:	MS. BELINDA DAVIS
Credential	:
Telephone Number	:	706-442-9613

Provider Enumeration Date	:	05/03/2015
Last Update Date	:	05/03/2015

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Directions to “QUALITY HOMECARE LLC ” Practice Location

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