Organization
QUALITY COMMUNITY SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SEBRINA PORTER (PRESIDENT)
(757) 295-8931
Entity
Organization
Contact information
Practice address
1109 EDEN SQUARE OFFICE PARK, CHESAPEAKE, VA 23320
(757) 295-8931
(757) 282-2990
Mailing address
PO BOX 1072, PORTSMOUTH, VA 23705
(757) 295-8931
(757) 282-2990
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
460-03-001
VA
251E00000X
Home Health Agency
0001179754
VA
251S00000X
Community/Behavioral Health Agency
460-03-001
VA
385H00000X
Respite Care
0001179754
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049434316
—
VA
Enumeration date
11/13/2007
Last updated
10/14/2011
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