Provider Demographics
NPI:1447500459
Name:AMERICAN QUALITY
Entity type:Organization
Organization Name:AMERICAN QUALITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH AID
Authorized Official - Prefix:MS
Authorized Official - First Name:TIDO
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:KENGNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-219-4507
Mailing Address - Street 1:7600 MAPLE AVE APT 704
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-5552
Mailing Address - Country:US
Mailing Address - Phone:301-219-4507
Mailing Address - Fax:
Practice Address - Street 1:7600 MAPLE AVE APT 704
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-5552
Practice Address - Country:US
Practice Address - Phone:301-219-4507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDK-525-793-004-062251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health