Provider Demographics
NPI:1063191765
Name:VQ COMPANION CARE SERVICES LLC
Entity type:Organization
Organization Name:VQ COMPANION CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:VERNE-QUETANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-898-5116
Mailing Address - Street 1:3923 LAKE WORTH RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-4049
Mailing Address - Country:US
Mailing Address - Phone:203-898-5116
Mailing Address - Fax:
Practice Address - Street 1:3923 LAKE WORTH RD STE 203
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-4049
Practice Address - Country:US
Practice Address - Phone:203-898-5116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care