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General NPI Number Information
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NPI Number | 1982149407
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Entity Type | Organization
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Legal Business Name | QUALITY SENIOR CARE, LLC
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 1300 S 4TH ST SUITE 150
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City | LOUISVILLE
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State | KY
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Zip | 40208-2314
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Country | US
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Telephone | 502-777-7078
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 S 4TH ST SUITE 150
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City | LOUISVILLE
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State | KY
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Zip | 40208-2314
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VALERIE COMBS
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Credential |
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Telephone | 502-587-0533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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