Provider Demographics
NPI:1982964292
Name:QUALITY ADVANTAGE HOME PRODUCTS, INC
Entity Type:Organization
Organization Name:QUALITY ADVANTAGE HOME PRODUCTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BENTON
Authorized Official - Last Name:SHENK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-728-3755
Mailing Address - Street 1:610 N ARMISTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-3047
Mailing Address - Country:US
Mailing Address - Phone:757-728-3755
Mailing Address - Fax:757-728-3735
Practice Address - Street 1:610 N ARMISTEAD AVE
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-3047
Practice Address - Country:US
Practice Address - Phone:757-728-3755
Practice Address - Fax:757-728-3735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705 040492A332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment