Provider Demographics
NPI:1912546607
Name:YONG QUALITY CARE INC
Entity Type:Organization
Organization Name:YONG QUALITY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:FONSECA PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-593-2795
Mailing Address - Street 1:9621 FONTAINEBLEAU BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-6814
Mailing Address - Country:US
Mailing Address - Phone:786-593-2795
Mailing Address - Fax:
Practice Address - Street 1:9621 FONTAINEBLEAU BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-6814
Practice Address - Country:US
Practice Address - Phone:786-593-2795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health