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Individual

HERMAN QUARZETTE BASNIGHT II

Active
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Individual

HERMAN QUARZETTE BASNIGHT II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP/C, MSN, BSN, RN

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
320700000X
Physical Disabilities Residential Treatment Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
12/19/2023
Last updated
12/19/2023
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