Organization
QUANTUM HOUSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNICUS L COOK (EXECUTIVE DIRECTOR)
(213) 342-5640
Entity
Organization
Contact information
Practice address
811 WILSHIRE BLVD STE 1753, LOS ANGELES, CA 90017-2606
(213) 342-5640
Mailing address
811 WILSHIRE BLVD STE 1700, LOS ANGELES, CA 90017-2630
(213) 342-5640
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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