Organization
QUALITY LIVING HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IYONNA SMITH (OWNER)
(602) 384-4845
Entity
Organization
Contact information
Practice address
134 W DESERT LN, PHOENIX, AZ 85041-8121
(602) 384-4845
Mailing address
134 W DESERT LN, PHOENIX, AZ 85041-8121
(602) 384-4845
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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