# QUALIS HOME HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1639685001
- **Authorized official:** DR. ZAKEVIA DENISE GREEN (CEO & PRESIDENT)
- **Authorized official phone:** (800) 296-3458

## Contact information

- **Practice address:** 1810 REDDY DR \# 5370, WOODBRIDGE, VA 22191-3410
- **Practice address phone:** (800) 296-3458
- **Mailing address:** 1810 REDDY DR \# 5370, WOODBRIDGE, VA 22191-3410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 12/21/2017
- **Last updated:** 07/04/2021