QUALITY LIFE ASSOCIATES
Alzheimer Center
Fayetteville, Arkansas
Provider NPI: 1588994776
Organization Information:Organization Name: QUALITY LIFE ASSOCIATES
Practice Location:
2619 N QUALITY LN SUITE 325 FAYETTEVILLE, AR 72703 US
Tel: 479-571-4455 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2619 N QUALITY LN SUITE 325 FAYETTEVILLE, AR 72703 US
Tel: 479-571-4455 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | AR |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
188872756 | AR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin