Provider Demographics
NPI:1346414547
Name:VIDAL QUINTANILLA JR
Entity Type:Organization
Organization Name:VIDAL QUINTANILLA JR
Other - Org Name:QUALITY HOME HEALTH & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIDAL
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTANILLA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-424-5101
Mailing Address - Street 1:1404 ENCANTADO CIR
Mailing Address - Street 2:
Mailing Address - City:PALMVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:78572-1956
Mailing Address - Country:US
Mailing Address - Phone:956-424-5101
Mailing Address - Fax:956-583-7796
Practice Address - Street 1:1404 ENCANTADO CIR
Practice Address - Street 2:
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572-1956
Practice Address - Country:US
Practice Address - Phone:956-424-5101
Practice Address - Fax:956-583-7796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty