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General NPI Number Information
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NPI Number | 1073340444
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Entity Type | Organization
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Legal Business Name | QUALITY LIFE HOME CARE
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 4100 SPRING VALLEY RD
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City | DALLAS
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State | TX
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Zip | 75244-3629
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Country | US
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Telephone | 214-216-6320
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Fax |
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Provider Business Mailing Address
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Address Line | 16016 ALVARADO DR
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City | PROSPER
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State | TX
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Zip | 75078-5031
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Country | US
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Telephone | 214-216-6320
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SANDRA JORDAN
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Credential | RN
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Telephone | 214-395-2307
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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 |
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License Number State |
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