Provider Demographics
NPI:1487886784
Name:QUALITY CARE & SUPPORT SERVICES
Entity type:Organization
Organization Name:QUALITY CARE & SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ACQUAH-ASARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-672-9111
Mailing Address - Street 1:9618 IRON LEAF TRL
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-5878
Mailing Address - Country:US
Mailing Address - Phone:301-672-9111
Mailing Address - Fax:
Practice Address - Street 1:9618 IRON LEAF TRL
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-5878
Practice Address - Country:US
Practice Address - Phone:301-672-9111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2756251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health