Provider Demographics
NPI:1831654409
Name:NADESA QUALITY CARE LLC
Entity Type:Organization
Organization Name:NADESA QUALITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NDANGAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-502-7709
Mailing Address - Street 1:364 E MAIN ST STE 193
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1482
Mailing Address - Country:US
Mailing Address - Phone:302-502-7709
Mailing Address - Fax:
Practice Address - Street 1:364 E MAIN ST STE 193
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1482
Practice Address - Country:US
Practice Address - Phone:570-406-2335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-07
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health