Provider Demographics
NPI:1578270120
Name:QAL LLC
Entity Type:Organization
Organization Name:QAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:QUINTON
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSTORK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-867-9811
Mailing Address - Street 1:127 SPARKS ST
Mailing Address - Street 2:
Mailing Address - City:TROTWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45426-3016
Mailing Address - Country:US
Mailing Address - Phone:937-867-9811
Mailing Address - Fax:
Practice Address - Street 1:127 SPARKS ST
Practice Address - Street 2:
Practice Address - City:TROTWOOD
Practice Address - State:OH
Practice Address - Zip Code:45426-3016
Practice Address - Country:US
Practice Address - Phone:937-867-9811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No385H00000XRespite Care FacilityRespite Care