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General NPI Number Information
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NPI Number | 1346732427
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Entity Type | Organization
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Legal Business Name | QUALITY LIFE AT HOME-HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 22923 US HIGHWAY 72 STE D
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City | ATHENS
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State | AL
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Zip | 35613-7618
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Country | US
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Telephone | 256-527-9205
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Fax | 256-261-1378
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Provider Business Mailing Address
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Address Line | 22923 US HIGHWAY 72 STE D
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City | ATHENS
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State | AL
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Zip | 35613-7618
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Country | US
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Telephone | 256-527-9205
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Fax | 256-261-1378
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KATRINA COLEMAN
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Credential |
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Telephone | 256-261-3986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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