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Organization
QUALITY OF LIFE CARE, LLC
Active
Organization
QUALITY OF LIFE CARE, LLC
Active
Other names
Quality of Life Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA SHOKRY (CREDENTIALING/BILLING MANAGER)
(267) 632-2804
Entity
Organization
Contact information
Practice address
4 GIGANTE PL, CLIFFSIDE PARK, NJ 07010-1205
(201) 394-2397
Mailing address
4 GIGANTE PL, CLIFFSIDE PARK, NJ 07010-1205
(201) 394-2397
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/21/2020
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