Provider Demographics
NPI:1255968285
Name:QUALITY PROVIDERS INC
Entity type:Organization
Organization Name:QUALITY PROVIDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLAYINKA
Authorized Official - Middle Name:OLUSEUN
Authorized Official - Last Name:ALATISE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN/RN
Authorized Official - Phone:410-926-4858
Mailing Address - Street 1:4660 WILKENS AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-4846
Mailing Address - Country:US
Mailing Address - Phone:410-565-6041
Mailing Address - Fax:410-565-6047
Practice Address - Street 1:4660 WILKENS AVE STE 203
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-4846
Practice Address - Country:US
Practice Address - Phone:410-565-6041
Practice Address - Fax:410-565-6047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)