Provider Demographics
NPI:1861629933
Name:QUALITY SALUD HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:QUALITY SALUD HOME HEALTH AGENCY
Other - Org Name:SALUD HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:CASEY
Authorized Official - Last Name:QUIROZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:432-363-8182
Mailing Address - Street 1:4100 BONHAM AVE
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-6204
Mailing Address - Country:US
Mailing Address - Phone:432-363-8182
Mailing Address - Fax:432-363-0952
Practice Address - Street 1:4100 BONHAM AVE
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-6204
Practice Address - Country:US
Practice Address - Phone:432-363-8182
Practice Address - Fax:432-363-0952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health