Provider Demographics
NPI:1164082145
Name:SANDRA J. MCKEE DBA QUALITY HOME CARE
Entity Type:Organization
Organization Name:SANDRA J. MCKEE DBA QUALITY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-339-5581
Mailing Address - Street 1:3505 ADKISSON DR NW STE 151
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-6822
Mailing Address - Country:US
Mailing Address - Phone:423-339-5581
Mailing Address - Fax:423-473-9091
Practice Address - Street 1:3505 ADKISSON DR NW STE 151
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-6822
Practice Address - Country:US
Practice Address - Phone:423-339-5581
Practice Address - Fax:423-473-9091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2019-07-19
Deactivation Date:2019-07-11
Deactivation Code:
Reactivation Date:2019-07-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care