Provider Demographics
NPI:1669530747
Name:QUINN MILLER GROUP, INC
Entity type:Organization
Organization Name:QUINN MILLER GROUP, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:302-738-6400
Mailing Address - Street 1:201 RUTHAR DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-8029
Mailing Address - Country:US
Mailing Address - Phone:302-738-6400
Mailing Address - Fax:302-738-9247
Practice Address - Street 1:201 RUTHAR DR
Practice Address - Street 2:SUITE 5
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-8029
Practice Address - Country:US
Practice Address - Phone:302-738-6400
Practice Address - Fax:302-738-9247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEHHAS-008251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000114614Medicaid
DE0000839855Medicaid
DE0000839855Medicaid