Individual ProviderMarylee Faith PeachStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address17235 N 75th Ave, Glendale, AZ 85308-0831(480) 878-7115(615) 487-9094PECOS EnrollmentBased on the most recent information from CMS, provider Marylee Faith Peach does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1720975519Provider TypeIndividualFull NamePeach, Marylee FaithGenderFemaleSole ProprietorNoEnumeration Date6/23/2025Last Updated6/23/2025Contact InformationPractice LocationPractice Address17235 N 75th Ave, Glendale, AZ 85308-0831Phone(480) 878-7115FaxUnlisted FaxMailing LocationMailing Address20808 N 27th Ave Apt 1144, Phoenix, AZ 85027-3212Phone(615) 487-9094FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer