Organization
QCI NURSE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN JOHN VERA (CEO)
(616) 365-9290
Entity
Organization
Contact information
Practice address
2805 COIT AVE NE, GRAND RAPIDS, MI 49505-3383
(616) 365-9290
(616) 365-9254
Mailing address
2805 COIT AVE NE, GRAND RAPIDS, MI 49505-3383
(616) 365-9290
(616) 365-9254
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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