Provider Demographics
NPI:1306273305
Name:QUALITY RESIDENTIAL ALTERNATIVES
Entity type:Organization
Organization Name:QUALITY RESIDENTIAL ALTERNATIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-454-2000
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:GRATIOT
Mailing Address - State:OH
Mailing Address - Zip Code:43740-0217
Mailing Address - Country:US
Mailing Address - Phone:740-787-5007
Mailing Address - Fax:
Practice Address - Street 1:8535 N DIXIE DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-2491
Practice Address - Country:US
Practice Address - Phone:937-454-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care