Organization Name: | QUALITY CARE INFUSION NURSES, LLC |
NPI Number: | 1831458942 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEE ANN SEAGRAVE (OWNER/ MANAGER) |
Mailing Address: | 15390 October Way Haymarket |
State: | VA US |
Postal Code: | 201691040 |
Phone Number: | 7039464316 |
Fax Number: | 7037536960 |
NPI Enumeration Date: | 05/09/2012 |
NPI Last Update Date: | 05/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | S403587-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |