Provider Demographics
NPI:1154700433
Name:QUINCEA INC
Entity type:Organization
Organization Name:QUINCEA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:NAUGHTON
Authorized Official - Last Name:EWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-750-9320
Mailing Address - Street 1:PO BOX 9668
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85068-9668
Mailing Address - Country:US
Mailing Address - Phone:602-750-9320
Mailing Address - Fax:
Practice Address - Street 1:5025 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-2154
Practice Address - Country:US
Practice Address - Phone:602-750-9320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services