Provider Demographics
NPI:1689004210
Name:QUALITY LIFE HOME CARE, CORP
Entity Type:Organization
Organization Name:QUALITY LIFE HOME CARE, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:OTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-280-2994
Mailing Address - Street 1:3600 S. STATE RD 7
Mailing Address - Street 2:SUITE 241
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023
Mailing Address - Country:US
Mailing Address - Phone:954-239-8295
Mailing Address - Fax:954-404-7509
Practice Address - Street 1:3600 S STATE ROAD 7
Practice Address - Street 2:SUITE 241
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-5200
Practice Address - Country:US
Practice Address - Phone:954-239-8295
Practice Address - Fax:954-404-7509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health