Provider Demographics
NPI:1194382507
Name:PROFESSIONAL AND QUALITY HOMECARE
Entity Type:Organization
Organization Name:PROFESSIONAL AND QUALITY HOMECARE
Other - Org Name:PROFESSIONAL AND QUALITY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ BSW, MHA
Authorized Official - Prefix:
Authorized Official - First Name:PHILOMENA
Authorized Official - Middle Name:K
Authorized Official - Last Name:QUARSHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-309-1181
Mailing Address - Street 1:1755 N BROWN RD STE 235
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-8198
Mailing Address - Country:US
Mailing Address - Phone:770-309-1181
Mailing Address - Fax:
Practice Address - Street 1:1180 MCKENDREE CHURCH RD STE 201
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-5207
Practice Address - Country:US
Practice Address - Phone:770-892-6820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health