Provider Demographics
NPI:1831920354
Name:QUALITY LIFE MEDICAL SUPPLIES
Entity type:Organization
Organization Name:QUALITY LIFE MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:APRAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-907-1933
Mailing Address - Street 1:1119 S WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-2365
Mailing Address - Country:US
Mailing Address - Phone:989-907-1933
Mailing Address - Fax:989-401-1230
Practice Address - Street 1:1119 S WARREN AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-2365
Practice Address - Country:US
Practice Address - Phone:989-907-1933
Practice Address - Fax:989-401-1230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies