Provider Demographics
NPI:1891684007
Name:QUARLES, SYLVIA (CEO)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:QUARLES
Suffix:
Gender:F
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 OAK FOREST CT SE APT L11
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-6175
Mailing Address - Country:US
Mailing Address - Phone:616-706-3045
Mailing Address - Fax:
Practice Address - Street 1:4210 OAK FOREST CT SE APT L11
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-6175
Practice Address - Country:US
Practice Address - Phone:616-706-3045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health