Provider Demographics
NPI:1972735967
Name:CONTINUOUS QUALITY HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:CONTINUOUS QUALITY HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MABEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:IBEWUIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-685-7827
Mailing Address - Street 1:10426 BLACK WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-5107
Mailing Address - Country:US
Mailing Address - Phone:469-685-7827
Mailing Address - Fax:214-377-9822
Practice Address - Street 1:10426 BLACK WALNUT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-5107
Practice Address - Country:US
Practice Address - Phone:469-685-7827
Practice Address - Fax:214-377-9822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-10
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health