Organization
QUALITY OF LIFE ADULT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA HAYNESWORTH (CEO)
(757) 535-7595
Entity
Organization
Contact information
Practice address
505 CRAWFORD ST, PORTSMOUTH, VA 23704-3805
(757) 535-7595
Mailing address
505 CRAWFORD ST, PORTSMOUTH, VA 23704-3805
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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