| NPI | 1811145030 |
|---|---|
| Doing Business As | QUALITY LIFESTYLE SERVICE INC ADULT DAY CENTER |
| Entity Type | Organization |
| Authorized Contact | URSULA DESHAWN DIAL Director/Administrator 423-386-5714 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN C-27A) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: TN C-27A) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TN 21T) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TN C219-058-9914) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TN C219-058-9913) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2009-02-06 |