Quality Concept Inc.

Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Dudley, NC

NPI 1295949592 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1295949592
Entity type
Organization (NPI type 2)
Primary specialty
Mental Illness Community Based Residential Treatment Facility 320800000X
License
MHL-096-106 (NC)
Legal business name
QUALITY CONCEPT INC.
Practice address
1219 Emmaus Church Road
Dudley, NC 28333-2401
Phone
(919) 344-3216
Fax
(919) 658-8037
NPI assigned
May 9, 2007
Organization subpart
No

Authorized official

Name
Mr. Erthel Anderson Jr.
Title
Owner
Phone
(919) 344-3216

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Emmaus Enterprises (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-096-106 NC Yes

Addresses

Primary practice location

1219 Emmaus Church Road
Dudley, NC 28333-2401

Mailing address

311 SE Center St
Mount Olive, NC 28365-2401
Phone (919) 344-3216

Other identifiers

IdentifierTypeStateIssuer
7804684MedicaidNC

Other providers in Dudley, NC

All providers in Dudley, NC · Mental Illness Community Based Residential Treatment Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.