Provider Demographics
NPI:1699500900
Name:NOBLE QUALITY HEALTH SERVICES LLC
Entity type:Organization
Organization Name:NOBLE QUALITY HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAPHNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABANGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-421-5127
Mailing Address - Street 1:522 S BOSTON AVE APT 704
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74103-4622
Mailing Address - Country:US
Mailing Address - Phone:240-421-5127
Mailing Address - Fax:
Practice Address - Street 1:522 S BOSTON AVE APT 704
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74103-4622
Practice Address - Country:US
Practice Address - Phone:240-421-5127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care