| Organization Name: | LIFE QUEST HOME MEDICAL INC |
| NPI Number: | 1801910955 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY SMOLIK (PRESIDENT) |
| Mailing Address: | 29011 Euclid Ave Wickliffe |
| State: | OH US |
| Postal Code: | 440922465 |
| Phone Number: | 2167311250 |
| Fax Number: | 2167311298 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 07/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 18477272 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |