# QUANTUM PERSONAL HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396408084
- **Authorized official:** ANITA PRINCE NP (ADMINISTRATOR)
- **Authorized official phone:** (678) 353-8528

## Contact information

- **Practice address:** 2775 CRUSE RD NW, STE 201, LAWRENCEVILLE, GA 30044
- **Practice address phone:** (678) 353-8528
- **Mailing address:** 1398 CHRISTIANA DR, LAWRENCEVILLE, GA 30043-5210
- **Mailing address phone:** (678) 353-8528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2021
- **Last updated:** 11/07/2022