Organization
QUALITY CARE NURSING AGENCY, LLC
Active
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
Update your record
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