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Organization
LIFE QUEST HOME MEDICAL INC
Active
Organization
LIFE QUEST HOME MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY SMOLIK (PRESIDENT)
(216) 731-1250
Entity
Organization
Contact information
Practice address
29011 EUCLID AVE, WICKLIFFE, OH 44092-2465
(216) 731-1250
(216) 731-1298
Mailing address
29011 EUCLID AVE, WICKLIFFE, OH 44092-2465
(216) 731-1250
(216) 731-1298
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
18477272
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0989006
—
OH
Enumeration date
03/16/2007
Last updated
07/25/2008
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