Organization
QUALITY OF LIFE HEALTH SERVICES, INC
Active
Other names
CLEBURNE QUALITY HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE ROWE MPA (CEO)
(256) 492-0131
Entity
Organization
Contact information
Practice address
64 GILES ST, HEFLIN, AL 36264-1738
(256) 463-2021
Mailing address
PO BOX 97, GADSDEN, AL 35902-0097
(256) 492-0131
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100370
—
AL
01
—
E-948
MEDICARE PART B PTAN
AL
Enumeration date
02/19/2008
Last updated
03/10/2014
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