Provider Demographics
NPI:1861888422
Name:INTERNATIONAL QUALITY HOMECARE CORP
Entity type:Organization
Organization Name:INTERNATIONAL QUALITY HOMECARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT &CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADERONKE
Authorized Official - Middle Name:OLANREWAJU
Authorized Official - Last Name:MORDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-252-8117
Mailing Address - Street 1:3261 19TH ST NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-6786
Mailing Address - Country:US
Mailing Address - Phone:507-252-8117
Mailing Address - Fax:507-252-1985
Practice Address - Street 1:2395 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-2147
Practice Address - Country:US
Practice Address - Phone:262-623-6301
Practice Address - Fax:262-429-1400
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERNATIONAL QUALITY HOMECARE CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health