Provider Demographics
NPI:1245409861
Name:QUALITY PERSONAL CARE, INC.
Entity Type:Organization
Organization Name:QUALITY PERSONAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHNSON
Authorized Official - Middle Name:S
Authorized Official - Last Name:BESONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-996-8460
Mailing Address - Street 1:2701 OLD JONESBORO RD
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-3244
Mailing Address - Country:US
Mailing Address - Phone:770-996-8460
Mailing Address - Fax:770-996-8460
Practice Address - Street 1:2701 OLD JONESBORO RD
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-3244
Practice Address - Country:US
Practice Address - Phone:770-996-8460
Practice Address - Fax:770-996-8460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060R0285251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health