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General NPI Number Information
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NPI Number | 1972883742
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Entity Type | Organization
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Legal Business Name | QUALITY LIVING HOME HEALTH CARE. LLC
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Dates
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Enumeration Date | 08/24/2011
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 25400 US HIGHWAY 19 N STE 164
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City | CLEARWATER
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State | FL
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Zip | 33763-2150
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Country | US
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Telephone | 727-803-6982
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Fax | 727-289-7267
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Provider Business Mailing Address
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Address Line | 1645 PALM BEACH LAKES BLVD STE 1100
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2218
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Country | US
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Telephone | 561-697-3606
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Fax | 561-697-3614
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMIE SCOTT HYNES
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Credential |
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Telephone | 561-697-3606
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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 |
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License Number State |
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