Provider Demographics
NPI:1164176897
Name:J AND D QUALITY CARE INC.
Entity Type:Organization
Organization Name:J AND D QUALITY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROPER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:646-670-2989
Mailing Address - Street 1:1743 POMPANO DR
Mailing Address - Street 2:
Mailing Address - City:POINCIANA
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4702
Mailing Address - Country:US
Mailing Address - Phone:646-670-2989
Mailing Address - Fax:904-204-0143
Practice Address - Street 1:1743 POMPANO DR
Practice Address - Street 2:
Practice Address - City:POINCIANA
Practice Address - State:FL
Practice Address - Zip Code:34759-4702
Practice Address - Country:US
Practice Address - Phone:646-670-2989
Practice Address - Fax:904-204-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities