Provider Demographics
NPI:1558141861
Name:RHYMES, QUALISHA
Entity Type:Individual
Prefix:
First Name:QUALISHA
Middle Name:
Last Name:RHYMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 WESMINSTER CIR
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30223-7128
Mailing Address - Country:US
Mailing Address - Phone:470-541-6251
Mailing Address - Fax:
Practice Address - Street 1:1717 WESMINSTER CIR
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-7128
Practice Address - Country:US
Practice Address - Phone:470-541-6251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHCP011717251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health