Quarterman Tender Care
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fernandina Beach, FL. Organization (NPI-2).
NPI number1669960340
StatusActive
Last updated in NPPESApr 27, 2018
Details
- NPI
- 1669960340
- Entity type
- Organization (NPI-2)
- Legal business name
- Quarterman Tender Care
- Organization subpart
- No
- Enumeration date
- Apr 27, 2018
- Last updated
- Apr 27, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
119 N 11th StFernandina Beach, FL 32034-3338
Phone 904-321-7478
Mailing address
119 N 11th StFernandina Beach, FL 32034-3338
Authorized official
Dishaun Quarterman
Owner
9043217478
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