Provider Demographics
NPI:1225225055
Name:QUALITY MEDICAL TRAINING CENTER
Entity Type:Organization
Organization Name:QUALITY MEDICAL TRAINING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZINNERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:203-278-6849
Mailing Address - Street 1:2945 MAIN ST
Mailing Address - Street 2:SUITE B, 2ND FL
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-4978
Mailing Address - Country:US
Mailing Address - Phone:203-278-6849
Mailing Address - Fax:203-859-5300
Practice Address - Street 1:2945 MAIN ST
Practice Address - Street 2:SUITE B, 2ND FL
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-4978
Practice Address - Country:US
Practice Address - Phone:203-278-6849
Practice Address - Fax:203-859-5300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT251E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health