Provider Demographics
NPI:1346510450
Name:QUALITY CARE STAFFING
Entity Type:Organization
Organization Name:QUALITY CARE STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEWERY
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTGOMERY
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:662-834-9000
Mailing Address - Street 1:333 YAZOO ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MS
Mailing Address - Zip Code:39095-3644
Mailing Address - Country:US
Mailing Address - Phone:662-834-9000
Mailing Address - Fax:662-834-9002
Practice Address - Street 1:333 YAZOO ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MS
Practice Address - Zip Code:39095-3644
Practice Address - Country:US
Practice Address - Phone:662-834-9000
Practice Address - Fax:662-834-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory CareGroup - Single Specialty