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Organization
QUAYLE INTERVENTIONAL SERVICES
Active
Organization
QUAYLE INTERVENTIONAL SERVICES
Active
Other names
Quayle Interventional Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA L BAZEMORE QUAYE DBH, CFNC, CEAP, SAP (CLINICAL DIRECTOR)
(443) 636-0686
Entity
Organization
Contact information
Practice address
5041 W NORTHERN AVE STE B, GLENDALE, AZ 85301-1539
(480) 508-1077
Mailing address
5041 W NORTHERN AVE STE B, GLENDALE, AZ 85301-1539
(480) 508-1077
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
374U00000X
Home Health Aide
—
—
376G00000X
Nursing Home Administrator
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
04/04/2025
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