Provider Demographics
NPI:1528884384
Name:VON QUALITY HOME HEALTHCARE
Entity type:Organization
Organization Name:VON QUALITY HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONEAK
Authorized Official - Middle Name:VONSHA
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-461-1438
Mailing Address - Street 1:748 WALNUT VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-6367
Mailing Address - Country:US
Mailing Address - Phone:901-461-1438
Mailing Address - Fax:
Practice Address - Street 1:748 WALNUT VALLEY LN
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6367
Practice Address - Country:US
Practice Address - Phone:901-461-1438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility