Organization
QUALITY PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHILLE MCLAIN (DIRECTOR)
(336) 397-0099
Entity
Organization
Contact information
Practice address
301 N MAIN ST, SUITE 2501, WINSTON SALEM, NC 27101-3836
(336) 397-0099
(336) 397-0097
Mailing address
301 N MAIN ST, SUITE 2501, WINSTON SALEM, NC 27101-3836
(336) 397-0099
(336) 397-0097
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HC2210
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409252
—
NC
Enumeration date
12/28/2006
Last updated
08/22/2020
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