Provider Demographics
NPI:1891000824
Name:KWALITY HOME CARE INC.
Entity type:Organization
Organization Name:KWALITY HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR NURSING
Authorized Official - Prefix:MR
Authorized Official - First Name:ISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOROMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-955-3848
Mailing Address - Street 1:2465 CENTREVILLE RD
Mailing Address - Street 2:J17-713
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4586
Mailing Address - Country:US
Mailing Address - Phone:703-955-3848
Mailing Address - Fax:703-955-7375
Practice Address - Street 1:2465 CENTREVILLE RD
Practice Address - Street 2:J17-713
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-4586
Practice Address - Country:US
Practice Address - Phone:703-955-3848
Practice Address - Fax:703-955-7375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health