Healthcare Provider Details
I. General information
NPI: 1619884798
Provider Name (Legal Business Name): QUALITY LIFE MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8332 E SAN ROSENDO DR
SCOTTSDALE AZ
85258-1831
US
IV. Provider business mailing address
8332 E SAN ROSENDO DR
SCOTTSDALE AZ
85258-1831
US
V. Phone/Fax
- Phone: 602-960-4423
- Fax:
- Phone: 602-960-4423
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MYRIO
DAVIS
Title or Position: CEO
Credential: DAVIS
Phone: 602-960-4423