Organization
QUALITY LIFE CENTER OF S.W. FL. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDUL'HAQ MUHAMMAD (EXECUTIVE DIRECTOR)
(239) 333-2100
Entity
Organization
Contact information
Practice address
3210 MARTIN LUTHER KING BLVD, FORT MYERS, FL 33916-2016
(239) 333-2100
(239) 333-2102
Mailing address
PO BOX 1290, FORT MYERS, FL 33902-1290
(239) 333-2100
(239) 333-2102
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
FL
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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