Provider Demographics
NPI:1386389187
Name:QUALITY CARE HOME CARE AGENCY, LLC
Entity type:Organization
Organization Name:QUALITY CARE HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERICA
Authorized Official - Middle Name:D
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-279-0116
Mailing Address - Street 1:82 SHURLING DR
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31096-5266
Mailing Address - Country:US
Mailing Address - Phone:478-279-0116
Mailing Address - Fax:
Practice Address - Street 1:82 SHURLING DR
Practice Address - Street 2:
Practice Address - City:WRIGHTSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31096-5266
Practice Address - Country:US
Practice Address - Phone:478-279-0116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health