Provider Demographics
NPI:1649585530
Name:C & S QUALITY HOME CARE
Entity Type:Organization
Organization Name:C & S QUALITY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:810-835-6872
Mailing Address - Street 1:PO BOX 7172
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-0172
Mailing Address - Country:US
Mailing Address - Phone:810-835-6872
Mailing Address - Fax:810-787-4217
Practice Address - Street 1:1702 LAUREL OAK DR
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-2211
Practice Address - Country:US
Practice Address - Phone:810-835-6872
Practice Address - Fax:810-787-4217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704268752251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care