Healthcare Provider Details

I. General information

NPI: 1285431163
Provider Name (Legal Business Name): QUALITY OF LIFE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 MELALEUCA DR OFC 1
MARGATE FL
33063-4591
US

IV. Provider business mailing address

603 MELALEUCA DR OFC 1
MARGATE FL
33063-4591
US

V. Phone/Fax

Practice location:
  • Phone: 954-608-4067
  • Fax:
Mailing address:
  • Phone: 954-608-4067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081P0301X
TaxonomyBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MISS MIRYAM JIMENEZ
Title or Position: CEO
Credential:
Phone: 954-608-4067