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1891245890
EXTENDED QUALITY OF LIFE, LLC
CORDOVA, TN
NPI
1891245890
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Entity Type
Organization
Authorized Contact
ANTONISHA ADAIR
Owner
901-315-7652
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
(Licence: TN 1000000018653)
Enumeration Date
2016-10-13
Last Update Date
2016-10-13
Business Address
EXTENDED QUALITY OF LIFE, LLC
2677 WIGAN CV
CORDOVA, TN 38016-0115
Phone number: 901-315-7652
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Mailing Address
EXTENDED QUALITY OF LIFE, LLC
2677 WIGAN CV
CORDOVA, TN 38016-0115
Phone number: 901-315-7652
Copy
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