Provider Demographics
NPI:1093041071
Name:QUALITY OF LIFE HOME HEALTH CARE
Entity Type:Organization
Organization Name:QUALITY OF LIFE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LILA
Authorized Official - Middle Name:LASHELLE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-480-8391
Mailing Address - Street 1:1609 BLUE SPRING RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-5748
Mailing Address - Country:US
Mailing Address - Phone:910-480-8391
Mailing Address - Fax:
Practice Address - Street 1:1609 BLUE SPRING RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-5748
Practice Address - Country:US
Practice Address - Phone:910-480-8391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies