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Organization

QUALITY LIFESTYLE SERVICE INC

Active
Parent organization
QUALITY LIFESTYLE SERVICE INC ADULT DAY CENTER
Other names
Quality Lifestyle Service Inc Adult Day Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
QUALITY LIFESTYLE SERVICE INC ADULT DAY CENTER
Authorized official
MRS. URSULA DESHAWN DIAL (DIRECTOR/ADMINISTRATOR)
(423) 386-5714
Entity
Organization

Contact information

Practice address
5102 HWY 58, SUITE 4, CHATTANOOGA, TN 37416-1646
(423) 386-5714
(423) 386-5716
Mailing address
5102 HWY 58, STE 4, CHATTANOOGA, TN 37416-1646
(423) 386-5714
(423) 386-5716

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
21T
TN
320800000X
Mental Illness Community Based Residential Treatment Facility
C219-058-9913
TN
320800000X
Mental Illness Community Based Residential Treatment Facility
C219-058-9914
TN
343900000X
Non-emergency Medical Transport (VAN)
Primary
C-27A
TN
347C00000X
Private Vehicle
C-27A
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H445199
TN
Enumeration date
08/29/2008
Last updated
02/06/2009
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