Provider Demographics
NPI:1841758125
Name:INTERNATIONAL QUALITY HOMECARE CORPORATION
Entity Type:Organization
Organization Name:INTERNATIONAL QUALITY HOMECARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADERRONKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-252-8117
Mailing Address - Street 1:3261 19TH ST NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-6786
Mailing Address - Country:US
Mailing Address - Phone:507-252-8117
Mailing Address - Fax:
Practice Address - Street 1:227 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-1339
Practice Address - Country:US
Practice Address - Phone:833-808-4742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health