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General NPI Number Information
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NPI Number | 1326438904
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Entity Type | Organization
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Legal Business Name | QUALITY LIVING CENTER, INC
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 3925 ASHER AVE
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City | LITTLE ROCK
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State | AR
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Zip | 72204-6355
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Country | US
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Telephone | 501-663-3490
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Fax | 501-663-3446
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Provider Business Mailing Address
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Address Line | 3925 ASHER AVE
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City | LITTLE ROCK
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State | AR
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Zip | 72204-6355
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Country | US
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Telephone | 501-663-3490
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Fax | 501-663-3446
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | CURTIS ANDRA KEITH
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Credential |
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Telephone | 501-663-3490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 00206
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License Number State | AR
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