Organization
QUALITY CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY ANN JACKSON (OWNER/RN)
(573) 649-9082
Entity
Organization
Contact information
Practice address
215 E MAIN ST, EAST PRAIRIE, MO 63845-1123
(573) 649-9082
(573) 649-9626
Mailing address
215 E MAIN ST, EAST PRAIRIE, MO 63845-1123
(573) 649-9082
(573) 649-9626
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0010768
MO
253Z00000X
In Home Supportive Care Agency
0011310
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902191471
—
MO
Enumeration date
08/02/2012
Last updated
08/02/2012
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