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Organization
LIFEQUEST HOLDINGS QC, LLC
Active
Organization
LIFEQUEST HOLDINGS QC, LLC
Active
Other names
LifeQuest Holdings QC, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRI MALONE (BILLING SPECIALIST)
(480) 257-3157
Entity
Organization
Contact information
Practice address
37584 N GANTZEL RD STE 105, QUEEN CREEK, AZ 85140-7547
(802) 573-1574
Mailing address
37584 N GANTZEL RD STE 105, QUEEN CREEK, AZ 85140-7547
(480) 659-2000
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
NULL
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
10/11/2023
Last updated
09/02/2025
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