Provider Demographics
NPI:1114054855
Name:QUALITY COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:QUALITY COMMUNITY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE FISCAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHALLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-923-9999
Mailing Address - Street 1:PO BOX 518
Mailing Address - Street 2:
Mailing Address - City:FLOYDS KNOBS
Mailing Address - State:IN
Mailing Address - Zip Code:47119-0518
Mailing Address - Country:US
Mailing Address - Phone:812-923-9999
Mailing Address - Fax:812-923-5626
Practice Address - Street 1:3411 KNOBS VALLEY DR
Practice Address - Street 2:
Practice Address - City:FLOYDS KNOBS
Practice Address - State:IN
Practice Address - Zip Code:47119-9665
Practice Address - Country:US
Practice Address - Phone:812-923-9999
Practice Address - Fax:812-923-5626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN9304B0005JN06320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities