Provider Demographics
NPI:1831458942
Name:QUALITY CARE INFUSION NURSES, LLC
Entity Type:Organization
Organization Name:QUALITY CARE INFUSION NURSES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SEAGRAVE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, CRNI
Authorized Official - Phone:703-946-4316
Mailing Address - Street 1:15390 OCTOBER WAY
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-1040
Mailing Address - Country:US
Mailing Address - Phone:703-946-4316
Mailing Address - Fax:703-753-6960
Practice Address - Street 1:15390 OCTOBER WAY
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-1040
Practice Address - Country:US
Practice Address - Phone:703-946-4316
Practice Address - Fax:703-753-6960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAS403587-1251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion