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General NPI Number Information
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NPI Number | 1922457951
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Entity Type | Organization
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Legal Business Name | QUALITY LIFE HOME CARE SERVICES
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Dates
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Enumeration Date | 06/09/2016
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Last Update Date | 06/09/2016
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Provider Practice Location Address
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Address Line | 120 N MICHIGAN AVE STE 201
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City | SAGINAW
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State | MI
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Zip | 48602-4236
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Country | US
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Telephone | 989-401-8800
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Fax | 989-401-3410
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Provider Business Mailing Address
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Address Line | 120 N MICHIGAN AVE STE 201
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City | SAGINAW
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State | MI
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Zip | 48602-4236
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Country | US
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Telephone | 989-401-8800
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Fax | 989-401-3410
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Authorized Official
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Title or Position | OWNER/ OPERATOR
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Name | MISS TREASURE L GREEN
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Credential |
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Telephone | 989-401-8800
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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 | 7902019
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License Number State | MI
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