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General NPI Number Information
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NPI Number | 1952022568
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Entity Type | Organization
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Legal Business Name | QUALITY LIFESTYLE SERVICE, INC.
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 113 N MOORE ROAD
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City | CHATTANOOGA
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State | TN
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Zip | 37411-3919
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Country | US
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Telephone | 423-698-1061
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Fax | 423-521-8950
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Provider Business Mailing Address
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Address Line | 113 N MOORE ROAD
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City | CHATTANOOGA
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State | TN
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Zip | 37411-3919
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Country | US
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Telephone | 423-698-1061
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Fax | 423-521-8950
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Authorized Official
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Title or Position | CEO
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Name | URSULA EDWARDS
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Credential |
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Telephone | 423-635-0752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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