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General NPI Number Information
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NPI Number | 1144815507
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Entity Type | Organization
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Legal Business Name | QUALITY LIFE CARE HOME HEALTH INC.
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Dates
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Enumeration Date | 03/07/2021
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 2101 VISTA PKWY STE 115
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2706
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Country | US
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Telephone | 561-635-1197
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Fax | 877-788-0285
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Provider Business Mailing Address
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Address Line | 2101 VISTA PKWY STE 275
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2706
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Country | US
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Telephone | 561-635-1197
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR, PRESIDENT
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Name | AYMEE FROMETA
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Credential | RN
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Telephone | 561-635-1197
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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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