Provider Demographics
NPI:1518386465
Name:AZ QUALITY NURSING
Entity Type:Organization
Organization Name:AZ QUALITY NURSING
Other - Org Name:AZ QUALITY CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HEISLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-403-4817
Mailing Address - Street 1:2538 N 14TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-1119
Mailing Address - Country:US
Mailing Address - Phone:602-403-4817
Mailing Address - Fax:
Practice Address - Street 1:2538 N 14TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-1119
Practice Address - Country:US
Practice Address - Phone:602-403-4817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health