Provider Demographics
NPI:1669821690
Name:QUALITY SERVICE CONNECTIONS
Entity Type:Organization
Organization Name:QUALITY SERVICE CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIONE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-366-0768
Mailing Address - Street 1:PO BOX 31114
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80041-0114
Mailing Address - Country:US
Mailing Address - Phone:303-366-0768
Mailing Address - Fax:303-341-0012
Practice Address - Street 1:14261 E 4TH AVE
Practice Address - Street 2:SUITE 309
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8704
Practice Address - Country:US
Practice Address - Phone:303-366-0768
Practice Address - Fax:303-341-0012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO40000222Medicaid