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Organization
QUALITY OF LIFE HOME HEALTH CARE
Active
Organization
QUALITY OF LIFE HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E. HEENAN (CHIEF FINANCIAL OFFICER)
(727) 546-9692
Entity
Organization
Contact information
Practice address
7235 BRYAN DAIRY RD, LARGO, FL 33777
(727) 546-9692
(727) 547-0942
Mailing address
5435 CHARLES STREET, PORT RICHEY, FL 34668
(727) 546-9692
(727) 547-0942
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E9181A
CLIA PROVIDER NUMBER
FL
Enumeration date
03/23/2007
Last updated
08/22/2020
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