Provider Demographics
NPI:1588164164
Name:G&J QUALITY CARE, LLC
Entity type:Organization
Organization Name:G&J QUALITY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS,PUBLICPOLICY
Authorized Official - Phone:404-735-3025
Mailing Address - Street 1:3538 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:MARCUS HOOK
Mailing Address - State:PA
Mailing Address - Zip Code:19061-5301
Mailing Address - Country:US
Mailing Address - Phone:404-735-3025
Mailing Address - Fax:
Practice Address - Street 1:615 W 5TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-2007
Practice Address - Country:US
Practice Address - Phone:404-735-3025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities