Individual ProviderDale Philip FergusonRespite CareRespite Care FacilityPractice Address8770 W Paradise Dr, Peoria, AZ 85345(623) 486-8307PECOS EnrollmentBased on the most recent information from CMS, provider Dale Philip Ferguson 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 yesterday at 7:33 AM.Profile DetailsProvider ID1790844322Provider TypeIndividualFull NameFerguson, Dale PhilipTitleMr.GenderMaleSole ProprietorYesEnumeration Date12/8/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address8770 W Paradise Dr, Peoria, AZ 85345Phone(623) 486-8307FaxUnlisted FaxMailing LocationMailing Address8770 W Paradise Dr, Peoria, AZ 85345Phone(623) 486-8307FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode385HR2055XPrimaryDescriptionRespite CareRespite Care FacilityLicense11264Arizona