Provider Demographics
NPI:1730231622
Name:QUALITY FIRST HEALTH CARE SERVICES
Entity type:Organization
Organization Name:QUALITY FIRST HEALTH CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOATENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-558-5884
Mailing Address - Street 1:1275 STONEY FIELD PL
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-3831
Mailing Address - Country:US
Mailing Address - Phone:770-639-3976
Mailing Address - Fax:770-962-2346
Practice Address - Street 1:1275 STONEY FIELD PL
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-3831
Practice Address - Country:US
Practice Address - Phone:770-639-3976
Practice Address - Fax:770-962-2346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067R0067251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health