Provider Demographics
NPI:1881802460
Name:QUALITY LIVING SYSTEMS
Entity type:Organization
Organization Name:QUALITY LIVING SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUTTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-767-5858
Mailing Address - Street 1:3717 VAN SLYKE RD
Mailing Address - Street 2:SUITE #4
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-1497
Mailing Address - Country:US
Mailing Address - Phone:810-767-5858
Mailing Address - Fax:810-767-5070
Practice Address - Street 1:3717 VAN SLYKE RD
Practice Address - Street 2:SUITE #4
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-1497
Practice Address - Country:US
Practice Address - Phone:810-767-5858
Practice Address - Fax:810-767-5070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI886015251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management