Provider Demographics
NPI:1144412842
Name:QUALITY HOME CARE
Entity Type:Organization
Organization Name:QUALITY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKWUOSA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:501-664-0899
Mailing Address - Street 1:108 BROADMOOR DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-3541
Mailing Address - Country:US
Mailing Address - Phone:501-664-0899
Mailing Address - Fax:501-569-9874
Practice Address - Street 1:108 BROADMOOR DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-3541
Practice Address - Country:US
Practice Address - Phone:501-664-0899
Practice Address - Fax:501-569-9874
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALITY HOME CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health