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Organization

QUAYLE HOME CARE

Active
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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
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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