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Ms. Yvette J Qualls
Private Vehicle in Brockton, Massachusetts
NPI 1962860270

Yvette J Qualls is a Private Vehicle based in Brockton, MA. Yvette J Qualls practices in Brockton, MA. The NPI Number for Yvette J Qualls is 1962860270 and holds a License No. (Massachusetts).

The current practice location address for Yvette J Qualls is 349 N Pearl St Apt 402, Brockton, MA and can be reached out via phone at 508-510-4285 and via fax at 508-510-4285.

Location: 349 N Pearl St Apt 402, Brockton, MA, 02301-1148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962860270
Provider Name
Yvette J Qualls
Credential
Provider Entity Type
Individual
Gender
Female
Address
349 N Pearl St Apt 402, Brockton, MA, 02301-1148
Phone Number
508-510-4285
Fax Number
508-510-4285
Provider Enumeration Date
02/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
349 N Pearl St Apt 402
City
Brockton
State
Massachusetts
Zip
02301-1148
Phone Number
508-510-4285
Fax Number
508-510-4285
person
Provider Business Mailing Address Details
Address
349 N Pearl St Apt 402
City
Brockton
State
Massachusetts
Zip
02301-1148
Phone Number
508-510-4285
Fax Number
508-510-4285
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
2NNE20 (Massachusetts)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
(Massachusetts)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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