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Organization
QUALITY LIFE HOME HEALTH AGENCY CORP
Active
Organization
QUALITY LIFE HOME HEALTH AGENCY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADDYS M. RUIZ (PRESIDENT)
(239) 829-0814
Entity
Organization
Contact information
Practice address
1443 DEL PRADO BLVD S STE D, CAPE CORAL, FL 33990-3750
(239) 829-0814
(239) 829-0822
Mailing address
1443 DEL PRADO BLVD S STE D, CAPE CORAL, FL 33990-3750
(239) 829-0814
(239) 829-0822
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA299993507
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104100
—
FL
01
—
109603
MEDICARE
FL
Enumeration date
10/21/2008
Last updated
12/07/2017
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