MEDICARE: QUALITY OF LIFE HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225089675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY OF LIFE HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	PO BOX 97
Second Line	:
City	:	GADSDEN
State	:	AL
Zip	:	35902-0097
Country	:	US
Telephone Number	:	256-492-0131
Fax Number	:

Provider Business Practice Location Address
First Line	:	1989 SARDIS DR
Second Line	:
City	:	BOAZ
State	:	AL
Zip	:	35956-2344
Country	:	US
Telephone Number	:	256-492-0131
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. WAYNE ROWE
Credential	:
Telephone Number	:	256-492-0131

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	06/11/2014

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Directions to “QUALITY OF LIFE HEALTH SERVICES, INC ” Practice Location

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