Provider Demographics
NPI:1538686753
Name:QUALITY FIRST SUPPORT GROUP
Entity Type:Organization
Organization Name:QUALITY FIRST SUPPORT GROUP
Other - Org Name:QFSG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGIE
Authorized Official - Middle Name:DIEM
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:856-521-9095
Mailing Address - Street 1:204 ARK RD STE 208Q
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3190
Mailing Address - Country:US
Mailing Address - Phone:856-521-9095
Mailing Address - Fax:609-543-2413
Practice Address - Street 1:204 ARK RD STE 208Q
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-3190
Practice Address - Country:US
Practice Address - Phone:856-521-9095
Practice Address - Fax:609-543-2413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty