Provider Demographics
NPI:1356777007
Name:QUALITY COMMUNITY LIVING INC
Entity type:Organization
Organization Name:QUALITY COMMUNITY LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CIAMACCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-576-8968
Mailing Address - Street 1:230 HUNTING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2324
Mailing Address - Country:US
Mailing Address - Phone:412-576-8968
Mailing Address - Fax:
Practice Address - Street 1:11106 CLUBHOUSE RD
Practice Address - Street 2:
Practice Address - City:PRESTO
Practice Address - State:PA
Practice Address - Zip Code:15142-1580
Practice Address - Country:US
Practice Address - Phone:412-576-8968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA445090252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA445090OtherCOMMUNITY HOME SERVICE AGENCY