Provider Demographics
NPI:1255001699
Name:QUALITY HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:QUALITY HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JROLF
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:414-416-4277
Mailing Address - Street 1:W125S7554 COVENTRY LN
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-4019
Mailing Address - Country:US
Mailing Address - Phone:414-416-4277
Mailing Address - Fax:414-425-4871
Practice Address - Street 1:W125S7554 COVENTRY LN
Practice Address - Street 2:
Practice Address - City:MUSKEGO
Practice Address - State:WI
Practice Address - Zip Code:53150-4019
Practice Address - Country:US
Practice Address - Phone:414-416-4277
Practice Address - Fax:414-425-5138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date: