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General NPI Number Information
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NPI Number | 1265977318
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Entity Type | Organization
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Legal Business Name | QUALITY LIFE HOMECARE INC.
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Dates
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Enumeration Date | 12/28/2016
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Last Update Date | 12/28/2016
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Provider Practice Location Address
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Address Line | 626 REXCORP PLAZA #64 WEST TOWER
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City | UNIONDALE
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State | NY
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Zip | 11556
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Country | US
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Telephone | 855-831-9133
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Fax |
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Provider Business Mailing Address
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Address Line | 626 REXCORP PLAZA #64 WEST TOWER
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City | UNIONDALE
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State | NY
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Zip | 11556
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Country | US
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Telephone | 855-831-9133
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR/PARTNER
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Name | MS. JAMIE L ROGERS
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Credential | AAI AIS
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Telephone | 855-831-9133
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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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