Provider Demographics
NPI:1730623646
Name:KWALITY IN HOME SERVICES, LLC.
Entity type:Organization
Organization Name:KWALITY IN HOME SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KANEKA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-551-2279
Mailing Address - Street 1:220 HEREFORD AVE
Mailing Address - Street 2:
Mailing Address - City:FERGUSON
Mailing Address - State:MO
Mailing Address - Zip Code:63135-1909
Mailing Address - Country:US
Mailing Address - Phone:314-551-2279
Mailing Address - Fax:314-551-2280
Practice Address - Street 1:220 HEREFORD AVE
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:MO
Practice Address - Zip Code:63135-1909
Practice Address - Country:US
Practice Address - Phone:314-551-2279
Practice Address - Fax:314-551-2280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-12
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health