Provider Demographics
NPI:1316315880
Name:HIGH QUALITY HEALTH CARE
Entity type:Organization
Organization Name:HIGH QUALITY HEALTH CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEQUINDRE
Authorized Official - Middle Name:BERSHAWN
Authorized Official - Last Name:WINFREY SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-342-8825
Mailing Address - Street 1:4185 E VIENNA RD
Mailing Address - Street 2:
Mailing Address - City:CLIO
Mailing Address - State:MI
Mailing Address - Zip Code:48420-9706
Mailing Address - Country:US
Mailing Address - Phone:810-342-8825
Mailing Address - Fax:
Practice Address - Street 1:4185 E VIENNA RD
Practice Address - Street 2:
Practice Address - City:CLIO
Practice Address - State:MI
Practice Address - Zip Code:48420-9706
Practice Address - Country:US
Practice Address - Phone:810-342-8825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty