Provider Demographics
NPI:1801071121
Name:QUALITY COMMUNITY CARE, INC.
Entity type:Organization
Organization Name:QUALITY COMMUNITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:SUMPTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-676-1508
Mailing Address - Street 1:124 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27589-1922
Mailing Address - Country:US
Mailing Address - Phone:252-257-1220
Mailing Address - Fax:252-257-1865
Practice Address - Street 1:124 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:NC
Practice Address - Zip Code:27589-1922
Practice Address - Country:US
Practice Address - Phone:252-257-1220
Practice Address - Fax:252-257-1865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-05
Last Update Date:2008-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health