Provider Demographics
NPI:1609202670
Name:ALTERMEASE S KIMBLE
Entity Type:Organization
Organization Name:ALTERMEASE S KIMBLE
Other - Org Name:QUALITY LIFESTYLE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALTERMEASE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-879-3951
Mailing Address - Street 1:5104 N ORANGE BLOSSOM TRL STE 110
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-1016
Mailing Address - Country:US
Mailing Address - Phone:407-879-3951
Mailing Address - Fax:407-286-2980
Practice Address - Street 1:5104 N ORANGE BLOSSOM TRL STE 110
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-1016
Practice Address - Country:US
Practice Address - Phone:407-879-3951
Practice Address - Fax:407-286-2980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-22
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health