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Organization

QUAYLE HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA L BAZEMORE QUAYE DBH, CFNC, CEAP, SAP (CLINICAL DIRECTOR)
(443) 636-0686
Entity
Organization

Contact information

Practice address
5155 W THUNDERBIRD RD, GLENDALE, AZ 85306-4836
(443) 636-0686
(602) 532-7857
Mailing address
29697 N 69TH DR, PEORIA, AZ 85383-3178
(443) 636-0686

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
253Z00000X
In Home Supportive Care Agency
Q09201613534
AZ
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
374U00000X
Home Health Aide
385H00000X
Respite Care

Other

Enumeration date
11/02/2016
Last updated
04/04/2025
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