Provider Demographics
NPI:1609036714
Name:BEST QUALITY HOME CARE, LLC
Entity Type:Organization
Organization Name:BEST QUALITY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIANA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PROBST
Authorized Official - Suffix:
Authorized Official - Credentials:NAC
Authorized Official - Phone:360-807-4479
Mailing Address - Street 1:317 S BERRY ST
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-4103
Mailing Address - Country:US
Mailing Address - Phone:360-807-4479
Mailing Address - Fax:360-807-4482
Practice Address - Street 1:317 S BERRY ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-4103
Practice Address - Country:US
Practice Address - Phone:360-807-4479
Practice Address - Fax:360-807-4482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA750431320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities