Provider Demographics
NPI:1710623939
Name:QUALITY OF LIFE HOMECARE & HOSPICE
Entity Type:Organization
Organization Name:QUALITY OF LIFE HOMECARE & HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LADOUCEUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-418-1925
Mailing Address - Street 1:610 OLD YORK RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046
Mailing Address - Country:US
Mailing Address - Phone:267-418-1925
Mailing Address - Fax:
Practice Address - Street 1:610 OLD YORK RD
Practice Address - Street 2:SUITE 400
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046
Practice Address - Country:US
Practice Address - Phone:267-418-1925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care