Organization
QUALITY CARE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASHUNDA SHANIEL HOWARD (MANAGER)
(757) 532-6998
Entity
Organization
Contact information
Practice address
4505 GEORGE WASHINGTON HWY, PORTSMOUTH, VA 23702-2403
(757) 956-6200
(757) 410-4210
Mailing address
4505 GEORGE WASHINGTON HWY, PORTSMOUTH, VA 23702-2403
(757) 956-6200
(757) 410-4210
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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