| NPI | 1538583653 |
|---|---|
| Doing Business As | FERNELLA'S QUALITY CARE |
| Entity Type | Organization |
| Authorized Contact | BERNADETTE BENTA Care Coordination Consultant 571-435-5032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: R146754) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: R146754) |
| 251E00000X Home Health (Licence: MD R146754) | |
| 252Y00000X Early Intervention Provider Agency (Licence: MD R146754) | |
| 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: R146754) | |
| 281P00000X Chronic Disease Hospital (Licence: MD R146754) | |
| 281PC2000X Chronic Disease Hospital, Children (Licence: MD R146754) | |
| 282NC2000X General Acute Care Hospital, Children (Licence: MD R146754) | |
| 291U00000X Clinical Medical Laboratory (Licence: MD R146754) | |
| 293D00000X Physiological Laboratory (Licence: MD R146754) | |
| 302F00000X Exclusive Provider Organization (Licence: MD R146754) | |
| 302F00000X Exclusive Provider Organization (Licence: R146754) | |
| 302R00000X Health Maintenance Organization (Licence: MD R146754) | |
| 305R00000X Preferred Provider Organization (Licence: MD R146754) | |
| 305S00000X Point of Service (Licence: MD R146754) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |