Healthcare Provider Details
I. General information
NPI: 1215523261
Provider Name (Legal Business Name): QUALITY OF LIFE HEALTH CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/14/2020
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1015 GREENFIELD AVE SW
CANTON OH
44706-5121
US
IV. Provider business mailing address
1015 GREENFIELD AVE SW
CANTON OH
44706-5121
US
V. Phone/Fax
- Phone: 234-207-5944
- Fax: 330-248-4408
- Phone: 234-207-5944
- Fax: 330-248-4408
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385HR2060X |
| Taxonomy | Child Intellectual and/or Developmental Disabilities Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CECILY
T
RUFFIN
Title or Position: CEO
Credential:
Phone: 330-933-7987