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Organization
QUALITY OF LIFE HOME HEALTH SERVICES OF HILLSBOROUGH, INC
Active
Organization
QUALITY OF LIFE HOME HEALTH SERVICES OF HILLSBOROUGH, INC
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
2919 SWANN AVE, SUITE 400C, TAMPA, FL 33609
(813) 872-8103
(727) 547-0942
Mailing address
7235 BRYAN DAIRY RD, LARGO, FL 33777
(727) 546-9692
(727) 547-0942
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650915100
—
FL
01
—
E9183
CLIA PROVIDER NUMBER
FL
Enumeration date
03/23/2007
Last updated
07/02/2008
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