Organization
QUAD CITIES CITIZENS WITH AUTISM REHABILITATION ENTERPRISE
Active
Other names
QC CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIJAH ROBERTS (CEO QC CARE)
(309) 269-0803
Entity
Organization
Contact information
Practice address
1905 W 40TH ST, APT 304, DAVENPORT, IA 52806-4705
(309) 269-0803
Mailing address
1812 7TH ST, ROCK ISLAND, IL 61201
(309) 786-0336
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
17053152018035
IL
Other
Enumeration date
10/16/2006
Last updated
10/10/2008
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