Provider Demographics
NPI:1033434790
Name:1ST QUALITY HCS & TXHML INC
Entity Type:Organization
Organization Name:1ST QUALITY HCS & TXHML INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LNFA
Authorized Official - Prefix:MR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:AIGUOS
Authorized Official - Last Name:OMOROGBE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:817-501-5459
Mailing Address - Street 1:7908 MODESTO DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-6102
Mailing Address - Country:US
Mailing Address - Phone:817-501-5459
Mailing Address - Fax:
Practice Address - Street 1:7908 MODESTO DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-6102
Practice Address - Country:US
Practice Address - Phone:817-501-5459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities