Provider Demographics
NPI:1124681390
Name:INNER QUALITY SERVICES
Entity type:Organization
Organization Name:INNER QUALITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER.ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TANESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-474-8111
Mailing Address - Street 1:PO BOX 538
Mailing Address - Street 2:
Mailing Address - City:STONEWALL
Mailing Address - State:LA
Mailing Address - Zip Code:71078-0538
Mailing Address - Country:US
Mailing Address - Phone:318-905-5054
Mailing Address - Fax:
Practice Address - Street 1:1318 HIGHWAY 171
Practice Address - Street 2:
Practice Address - City:STONEWALL
Practice Address - State:LA
Practice Address - Zip Code:71078-9403
Practice Address - Country:US
Practice Address - Phone:318-906-5054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INNER QUALITY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-15
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty