Organization
QUALITY LIFE ENTEREPRISES , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA CATO (OWNER)
(703) 489-9406
Entity
Organization
Contact information
Practice address
75 S REYNOLDS ST APT G210, ALEXANDRIA, VA 22304-3146
(703) 489-9406
Mailing address
75 S REYNOLDS ST APT G210, ALEXANDRIA, VA 22304-3146
(703) 489-9406
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
DC
251S00000X
Community/Behavioral Health Agency
Primary
—
DC
253Z00000X
In Home Supportive Care Agency
—
DC
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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