# QUALITY OUTLOOK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467963124
- **Authorized official:** MARLA CLAY LPN (LPN)
- **Authorized official phone:** (602) 461-5330

## Contact information

- **Practice address:** 1717 W GLENDALE AVE APT 3011, PHOENIX, AZ 85021-8817
- **Practice address phone:** (602) 461-5330
- **Mailing address:** 1717 W GLENDALE AVE APT 3011, PHOENIX, AZ 85021-8817
- **Mailing address phone:** (602) 461-5330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | LP046141 | AZ | Yes |

## Other

- **Enumeration date:** 10/20/2017
- **Last updated:** 10/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1568980779 | — | AZ |