Healthcare Provider Details

I. General information

NPI: 1225706435
Provider Name (Legal Business Name): QUALITY OF LIFE HOME CARE, DBA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2021
Last Update Date: 09/09/2021
Certification Date: 09/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2242 WILLIAMS HWY UNIT 106
WILLIAMSTOWN WV
26187-8266
US

IV. Provider business mailing address

407 2ND ST
MARIETTA OH
45750-2116
US

V. Phone/Fax

Practice location:
  • Phone: 740-374-8005
  • Fax: 740-374-3310
Mailing address:
  • Phone: 740-374-8005
  • Fax: 740-374-3310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DONALD L OAKLEY
Title or Position: OWNER
Credential:
Phone: 740-374-8005