Provider Demographics
NPI:1174545032
Name:QUALITYCARE HEALTHCARE STAFFING
Entity type:Organization
Organization Name:QUALITYCARE HEALTHCARE STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:D
Authorized Official - Last Name:WORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:609-601-6700
Mailing Address - Street 1:1201 NEW RD
Mailing Address - Street 2:SIUTE 202A
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1150
Mailing Address - Country:US
Mailing Address - Phone:609-601-6700
Mailing Address - Fax:609-601-6710
Practice Address - Street 1:1201 NEW RD
Practice Address - Street 2:SIUTE 202A
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1150
Practice Address - Country:US
Practice Address - Phone:609-601-6700
Practice Address - Fax:609-601-6710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0078600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health