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General NPI Number Information
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NPI Number | 1861284390
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Entity Type | Organization
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Legal Business Name | ELORA QUALITY SERVICES LLC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 10410 STAR FLOWER LN
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City | RIVERVIEW
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State | FL
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Zip | 33578-9463
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Country | US
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Telephone | 813-999-5672
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Fax |
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Provider Business Mailing Address
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Address Line | 10410 STAR FLOWER LN
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City | RIVERVIEW
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State | FL
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Zip | 33578-9463
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Country | US
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Telephone | 813-999-5672
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAELLE JOAS
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Credential |
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Telephone | 813-999-5672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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