1700122520 NPI number — QUALITY EMPLOYMENT SERVICES AND TRAINING, INC.

Table of content: (NPI 1700122520)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700122520 NPI number — QUALITY EMPLOYMENT SERVICES AND TRAINING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUALITY EMPLOYMENT SERVICES AND TRAINING, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700122520
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/26/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
704 METRO DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEBANON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17042-9138
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-273-8118
Provider Business Mailing Address Fax Number:
717-273-2580

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
704 METRO DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17042-9138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-273-8118
Provider Business Practice Location Address Fax Number:
717-273-2580
Provider Enumeration Date:
12/26/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MORRIS
Authorized Official First Name:
VERNA
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
717-273-8118

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , with the licence number:  359040 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100001280 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".