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NPI 1689303059

NPI 1689303059 : QUALITY SENIOR HOME CARE, INC : MEMPHIS, TN

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General NPI Number Information
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    NPI Number           |    1689303059
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    Entity Type          |    Organization 
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    Legal Business Name  |    QUALITY SENIOR HOME CARE, INC 
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Dates
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    Enumeration Date     |    06/09/2022
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    Last Update Date     |    06/09/2022
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Provider Practice Location Address
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    Address Line         |    2400 POPLAR AVE STE 245 
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    City                 |    MEMPHIS
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    State                |    TN
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    Zip                  |    38112-3213
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    Country              |    US
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    Telephone            |    901-481-8087
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2400 POPLAR AVE STE 245 
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    City                 |    MEMPHIS
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    State                |    TN
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    Zip                  |    38112-3213
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    Country              |    US
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    Telephone            |    901-481-8087
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    Fax                  |    
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     AUDREY GUESS MILAN 
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    Credential           |    
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    Telephone            |    901-481-8087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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