MEDICARE: GOD'S QUALITY HOME HEALTH CARE

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	:	1902363948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOD'S QUALITY HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	950 HIGHWAY 431 STE 1
Second Line	:
City	:	ROANOKE
State	:	AL
Zip	:	36274-7314
Country	:	US
Telephone Number	:	334-226-0244
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 HIGHWAY 431
Second Line	:
City	:	ROANOKE
State	:	AL
Zip	:	36274-7313
Country	:	US
Telephone Number	:
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEFFERY BERNARD HENDERSON
Credential	:	DDP
Telephone Number	:	706-885-4553

Provider Enumeration Date	:	02/26/2019
Last Update Date	:	02/26/2019

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Directions to “GOD'S QUALITY HOME HEALTH CARE ” Practice Location

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