Provider Demographics
NPI:1720706633
Name:ASSURANCE AND QUALITY CARE LLC
Entity Type:Organization
Organization Name:ASSURANCE AND QUALITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCHITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCKNER
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:919-376-5159
Mailing Address - Street 1:PO BOX 2303
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-2303
Mailing Address - Country:US
Mailing Address - Phone:919-376-5159
Mailing Address - Fax:
Practice Address - Street 1:615 LEWIS ST OFC 102
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-3693
Practice Address - Country:US
Practice Address - Phone:919-376-5159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty