Provider Demographics
NPI:1700243508
Name:QUALITY CARE FIRST ASSIST, INC.
Entity Type:Organization
Organization Name:QUALITY CARE FIRST ASSIST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, FNP-C
Authorized Official - Phone:480-212-2011
Mailing Address - Street 1:4647 E BUCKBOARD CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-5524
Mailing Address - Country:US
Mailing Address - Phone:480-212-2011
Mailing Address - Fax:480-279-9899
Practice Address - Street 1:4647 E BUCKBOARD CT
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-5524
Practice Address - Country:US
Practice Address - Phone:480-212-2011
Practice Address - Fax:480-279-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty