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NPI Code Detail

MEDICARE: HIGH QUALITY CARE NURSING AGENCY LLC.

MEDICARE: HIGH QUALITY CARE NURSING AGENCY 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
1251J00000XNursing Care AgencyR2177MD

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 : 1962642561
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGH QUALITY CARE NURSING AGENCY LLC.
Provider Business Mailing Address
First Line : 2934 VISTA ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2636
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2934 VISTA ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2636
Country : US
Telephone Number : 301-674-8471
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MS. JOY E DAVIS
Credential :
Telephone Number : 301-674-8471
Provider Enumeration Date : 02/23/2009
Last Update Date : 02/23/2009

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