Healthcare Provider Details

I. General information

NPI: 1457520470
Provider Name (Legal Business Name): QUALITY LIFE ARRANGEMENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2008
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17303 W BUCKHORN TRL
SURPRISE AZ
85387-1016
US

IV. Provider business mailing address

17303 W BUCKHORN TRL
SURPRISE AZ
85387-1016
US

V. Phone/Fax

Practice location:
  • Phone: 623-734-2480
  • Fax:
Mailing address:
  • Phone: 623-734-2480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. JOANE JOHNSON
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 623-734-2480