Organization
QUALCARE NURSE REGISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD W BAILEY (ADMINISTRATOR)
(954) 638-4572
Entity
Organization
Contact information
Practice address
100 E LINTON BLVD STE 116B, DELRAY BEACH, FL 33483-3341
(954) 638-4572
Mailing address
100 E LINTON BLVD STE 116B, DELRAY BEACH, FL 33483-3341
(954) 638-4572
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108144700
MEDICAID WAIVER #
FL
Enumeration date
03/05/2021
Last updated
02/09/2022
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