Organization
QUALITY CARE NURSING AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWADWO KWARTENG MS (CHIEF EXECUTIVE OFFICER)
(513) 737-6172
Entity
Organization
Contact information
Practice address
6825 MELROSE PL, LIBERTY TWP, OH 45011-6627
(513) 737-6172
Mailing address
6825 MELROSE PL, LIBERTY TWP, OH 45011-6627
(513) 737-6172
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067711
ODJFS MEDICAID PROVIDER NUMBER
OH
Enumeration date
02/21/2012
Last updated
09/19/2012
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