Organization
QUALITY LIFE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA BELTON JOHNSON REGISTERED NURSE (OWNER/ADMINISTRATOR)
(919) 545-2027
Entity
Organization
Contact information
Practice address
148 EAST ST, LOWER LEVEL, PITTSBORO, NC 27312
(919) 545-2027
(919) 545-2029
Mailing address
PO BOX 1892, PITTSBORO, NC 27312-1892
(919) 545-2027
(919) 545-2029
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC3369
NC
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3418151
CAP PROVIDER NUMBER
NC
01
—
6601488
PCS PROVIDER NUMBER
NC
01
—
7100587
PDN PROVIDER NUMBER
NC
Enumeration date
08/11/2006
Last updated
07/01/2013
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