Provider Demographics
NPI:1215226188
Name:QUALITY CARE SCL,LLC
Entity Type:Organization
Organization Name:QUALITY CARE SCL,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:WITHERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-664-7535
Mailing Address - Street 1:1033 HATHAWAY AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40215-2709
Mailing Address - Country:US
Mailing Address - Phone:502-664-7595
Mailing Address - Fax:
Practice Address - Street 1:1033 HATHAWAY AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40215-2709
Practice Address - Country:US
Practice Address - Phone:502-664-7595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services