# QUALICARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LANCASTER WELLNESS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437878386
- **Authorized official:** DR. SHAVKAT RUZIEV MD (CEO)
- **Authorized official phone:** (215) 983-9441

## Contact information

- **Practice address:** 974 ISABEL DR, LEBANON, PA 17042-7482
- **Practice address phone:** (215) 983-9441
- **Mailing address:** 974 ISABEL DR, LEBANON, PA 17042-7482
- **Mailing address phone:** (215) 983-9441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2022
- **Last updated:** 08/24/2022