Organization Name: | QUINRO ENTERPRISES LLC |
NPI Number: | 1386084085 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN RODDENBERRY QUINTANILLA (MGRM) |
Mailing Address: | 4224 W Gulf To Lake Hwy Lecanto |
State: | FL US |
Postal Code: | 344619215 |
Phone Number: | 3522491257 |
Fax Number: | 3522491260 |
NPI Enumeration Date: | 06/27/2013 |
NPI Last Update Date: | 06/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 230036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |