Organization
SPECIALIZED QUALITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHELLE L BALL MBA (FOUNDER/OWNER)
(609) 314-8568
Entity
Organization
Contact information
Practice address
811 CHURCH RD, CHERRY HILL, NJ 08002-1412
(609) 314-8568
Mailing address
76 ELDERBERRY LN, WILLINGBORO, NJ 08046-2418
(609) 314-8568
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/18/2020
Last updated
04/20/2021
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