Provider Demographics
NPI:1770301889
Name:ALLIED QUALITYCARE L.L.C
Entity type:Organization
Organization Name:ALLIED QUALITYCARE L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAKA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:301-502-3903
Mailing Address - Street 1:1636 PIN OAK DR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-3532
Mailing Address - Country:US
Mailing Address - Phone:301-502-3903
Mailing Address - Fax:
Practice Address - Street 1:1636 PIN OAK DR
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-3532
Practice Address - Country:US
Practice Address - Phone:301-502-3903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health