| NPI | 1992269872 |
|---|---|
| Doing Business As | QUEENS UNITED WELLNESS CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | QUEEN R FITZGERALD CEO/ Owner 757-389-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |