Provider Demographics
NPI:1164185633
Name:GLOBAL QUALITY HOME SERVICES, LLC
Entity Type:Organization
Organization Name:GLOBAL QUALITY HOME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAZETTA
Authorized Official - Middle Name:AMENIA
Authorized Official - Last Name:WILLIAMSON-BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:AM
Authorized Official - Phone:843-462-2890
Mailing Address - Street 1:PO BOX 131
Mailing Address - Street 2:
Mailing Address - City:HARLEYVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29448-0131
Mailing Address - Country:US
Mailing Address - Phone:843-503-6916
Mailing Address - Fax:843-459-7942
Practice Address - Street 1:162 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HARLEYVILLE
Practice Address - State:SC
Practice Address - Zip Code:29448-3701
Practice Address - Country:US
Practice Address - Phone:843-503-6916
Practice Address - Fax:843-459-7942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX1701Medicaid
SC1701Medicaid