Provider Demographics
NPI:1720287063
Name:B&B ASSOCIATES QUALITY CARE LLC
Entity Type:Organization
Organization Name:B&B ASSOCIATES QUALITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-978-1385
Mailing Address - Street 1:590 CASTLE RISING RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-1552
Mailing Address - Country:US
Mailing Address - Phone:910-867-7518
Mailing Address - Fax:
Practice Address - Street 1:535 BUNCE ROAD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-0000
Practice Address - Country:US
Practice Address - Phone:910-978-1385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management