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NPI 1023492261

NPI 1023492261 : QUALITY FAMILY CARE LLC : WEST PALM BEACH, FL

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General NPI Number Information
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    NPI Number           |    1023492261
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    Entity Type          |    Organization 
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    Legal Business Name  |    QUALITY FAMILY CARE LLC 
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Dates
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    Enumeration Date     |    07/17/2015
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    Last Update Date     |    07/17/2015
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Provider Practice Location Address
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    Address Line         |    7500 S DIXIE HWY 
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    City                 |    WEST PALM BEACH
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    State                |    FL
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    Zip                  |    33405-4814
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    Country              |    US
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    Telephone            |    561-242-9450
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    Fax                  |    561-242-9454
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Provider Business Mailing Address
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    Address Line         |    7500 S DIXIE HWY 
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    City                 |    WEST PALM BEACH
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    State                |    FL
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    Zip                  |    33405-4814
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    Country              |    US
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    Telephone            |    561-242-9450
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    Fax                  |    561-240-9454
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MRS. JESSENIA  VELEZ 
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    Credential           |    
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    Telephone            |    561-242-9450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    30211272
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    License Number State |    FL
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