Provider Demographics
NPI:1760723803
Name:TWIN QUALITY NURSING SERVICES, INC.
Entity Type:Organization
Organization Name:TWIN QUALITY NURSING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PERNELL
Authorized Official - Last Name:SPARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-378-9415
Mailing Address - Street 1:14 W MAIN ST
Mailing Address - Street 2:SUITE 218
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-3935
Mailing Address - Country:US
Mailing Address - Phone:336-378-9415
Mailing Address - Fax:336-475-9273
Practice Address - Street 1:14 WEST MAIN ST.
Practice Address - Street 2:SUITE 218
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:24360
Practice Address - Country:US
Practice Address - Phone:336-475-9125
Practice Address - Fax:336-475-9273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3733251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1598081176OtherHOME CARE