Provider Demographics
NPI:1760688089
Name:IC QUALITY HEALTH CORP
Entity Type:Organization
Organization Name:IC QUALITY HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YISROEL
Authorized Official - Middle Name:ELI
Authorized Official - Last Name:GINSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-477-5595
Mailing Address - Street 1:10800 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7482
Mailing Address - Country:US
Mailing Address - Phone:305-477-5595
Mailing Address - Fax:866-449-7156
Practice Address - Street 1:10800 BISCAYNE BLVD
Practice Address - Street 2:SUITE 510
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-7482
Practice Address - Country:US
Practice Address - Phone:305-477-5595
Practice Address - Fax:866-449-7156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-23
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health