Provider Demographics
NPI:1205594991
Name:QUALITY LIVING HOME HEALTH SERVICES
Entity type:Organization
Organization Name:QUALITY LIVING HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EVERTON
Authorized Official - Middle Name:T
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-381-6315
Mailing Address - Street 1:PO BOX 7594
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-7594
Mailing Address - Country:US
Mailing Address - Phone:860-381-6315
Mailing Address - Fax:888-930-5296
Practice Address - Street 1:201 HOLCOMB ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06112-1457
Practice Address - Country:US
Practice Address - Phone:860-381-6315
Practice Address - Fax:888-930-5296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health