Organization
QUALITY LIFE COACH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CHIANG (PRESIDENT)
(727) 481-4457
Entity
Organization
Contact information
Practice address
2731 VIA CAPRI, UNIT 928, CLEARWATER, FL 33764
(727) 481-4457
Mailing address
14699 CONDOR PASS, CLEARWATER, FL 33760
(727) 481-4457
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
679783196
—
FL
Enumeration date
03/17/2011
Last updated
03/17/2011
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