| Qualicare | |
|
974 Isabel Dr Lebanon PA 17042-7482 | |
| (215) 983-9441 | |
| Not Available |
| Full Name | Qualicare |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 974 Isabel Dr, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Shavkat Ruziev (CEO) |
| Authorized Official Contact | 2159839441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qualicare 974 Isabel Dr Lebanon PA 17042-7482 Ph: (215) 983-9441 | Qualicare 974 Isabel Dr Lebanon PA 17042-7482 Ph: (215) 983-9441 |
| NPI Number | 1437878386 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437878386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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