Organization
QUALIS HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZAKEVIA DENISE GREEN (CEO & PRESIDENT)
(800) 296-3458
Entity
Organization
Contact information
Practice address
1810 REDDY DR # 5370, WOODBRIDGE, VA 22191-3410
(800) 296-3458
Mailing address
1810 REDDY DR # 5370, WOODBRIDGE, VA 22191-3410
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
12/21/2017
Last updated
07/04/2021
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