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
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/11/2023
Last updated
09/02/2025
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