Provider Demographics
NPI:1528537842
Name:REMI QUALITY CARE LLC
Entity Type:Organization
Organization Name:REMI QUALITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REMI
Authorized Official - Middle Name:JENNIFER
Authorized Official - Last Name:ETOKHANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-904-1320
Mailing Address - Street 1:1801 STALLION CT
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-8745
Mailing Address - Country:US
Mailing Address - Phone:856-904-1320
Mailing Address - Fax:
Practice Address - Street 1:1801 STALLION CT
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-8745
Practice Address - Country:US
Practice Address - Phone:856-904-1320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management