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General NPI Number Information
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NPI Number | 1891905444
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Entity Type | Organization
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Legal Business Name | QUALITY OF LIFE HOME CARE, LTD
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 407 2ND ST
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City | MARIETTA
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State | OH
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Zip | 45750
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Country | US
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Telephone | 740-374-8005
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Fax | 740-374-3310
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Provider Business Mailing Address
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Address Line | 407 2ND STREET
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City | MARIETTA
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State | OH
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Zip | 45750
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Country | US
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Telephone | 740-374-8005
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Fax | 740-374-3310
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATOR
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Name | LEVI HOOPER
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Credential |
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Telephone | 740-371-7112
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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 | 368063
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License Number State | OH
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