Organization
QUALITY LIFE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LOUIS SCHROEDER BS (OWNER)
(507) 327-3195
Entity
Organization
Contact information
Practice address
225 MADISON AVENUE, MANKATO, MN 56001
(507) 327-3195
(507) 387-6186
Mailing address
225 MADISON AVENUE, MANKATO, MN 56001
(507) 327-3195
(507) 387-6186
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360114
MINNESOTA CLASS A LICENSE SKILLED NURSING SERVICES
MN
Enumeration date
05/24/2012
Last updated
01/25/2018
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