Organization
QUALITY LIFE IN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINE ALILONU (DIRECTOR)
(573) 803-8154
Entity
Organization
Contact information
Practice address
14 N SPRIGG ST, CAPE GIRARDEAU, MO 63701-5526
(573) 332-1005
Mailing address
14 N SPRIGG ST, CAPE GIRARDEAU, MO 63701-5526
(573) 332-1005
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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