Organization
QUALITY LIFE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY L WOOTEN (PRESIDENT/OWNER)
(336) 852-1464
Entity
Organization
Contact information
Practice address
5601 ROANNE WAY, SUITE 601, GREENSBORO, NC 27409-3400
(336) 852-1464
Mailing address
776 BARKER RD, WINSTON SALEM, NC 27107-9045
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409430
—
NC
Enumeration date
09/15/2006
Last updated
08/22/2020
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