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Organization

QUALITY LIFE ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CALEB WESLEY TAYLOR (QUALITY LIFE ASSOCIATES COORDINATOR)
(479) 571-4455
Entity
Organization

Contact information

Practice address
2619 N QUALITY LN, SUITE 325, FAYETTEVILLE, AR 72703-5589
(479) 571-4455
(479) 571-2288
Mailing address
2619 N QUALITY LN, SUITE 325, FAYETTEVILLE, AR 72703-5589
(479) 571-4455
(479) 571-2288

Taxonomy

Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
188872756
AR
Enumeration date
01/11/2010
Last updated
11/07/2011
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