Provider Demographics
NPI:1326160102
Name:SOUTH COUNTY QUALITY CARE
Entity Type:Organization
Organization Name:SOUTH COUNTY QUALITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GALE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:401-789-8443
Mailing Address - Street 1:14 WOODRUFF AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-3467
Mailing Address - Country:US
Mailing Address - Phone:401-789-8443
Mailing Address - Fax:401-788-2237
Practice Address - Street 1:14 WOODRUFF AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-3467
Practice Address - Country:US
Practice Address - Phone:401-789-8443
Practice Address - Fax:401-788-2237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHCP02435251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health