Organization
QUALITY CARE MANAGEMENT, INC.
Active
Other names
QCM
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA L. RAYNOR-WYNN (EXECUTIVE DIRECTOR)
(336) 784-9129
Entity
Organization
Contact information
Practice address
637 LINVILLE RD, KERNERSVILLE, NC 27284-8004
(336) 784-6633
Mailing address
PO BOX 1017, KERNERSVILLE, NC 27285-1017
(336) 784-9129
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-034-198
NC
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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