Provider Demographics
NPI:1457620494
Name:QUALITY CARE 4 U HOME AGENCY
Entity Type:Organization
Organization Name:QUALITY CARE 4 U HOME AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMAU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:610-770-0601
Mailing Address - Street 1:800 MICKLEY RUN
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-7997
Mailing Address - Country:US
Mailing Address - Phone:610-770-0601
Mailing Address - Fax:610-910-3955
Practice Address - Street 1:800 MICKLEY RUN
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-7997
Practice Address - Country:US
Practice Address - Phone:610-770-0601
Practice Address - Fax:610-910-3955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA13173601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health