Organization
QUALITY INDEPENDENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA PENNINGTON (PRESIDENT)
(941) 457-9171
Entity
Organization
Contact information
Practice address
2826 TAMIAMI TRL STE 2, PORT CHARLOTTE, FL 33952-5167
(941) 457-9171
Mailing address
500 W 5TH ST STE 800, WINSTON SALEM, NC 27101-3131
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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